Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,620.00 / $12,281.00	Facility		$921.00	$3,620.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.66 / $239.77 / $281.00	Professional		$150.66	$239.77	$281.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.59 / $192.59 / $192.59	Professional		$192.59	$192.59	$192.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.55 / $10,168.04 / $10,168.04	Facility		$1,148.55	$10,168.04	$10,168.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.60 / $1,818.24 / $2,117.17	Professional		$1,767.60	$1,818.24	$2,117.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $217.47 / $247.38 / $488.62	Facility		$217.47	$247.38	$488.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $234.16 / $6,634.00	Professional		$217.47	$234.16	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $222.58 / $249.69 / $488.62	Facility		$222.58	$249.69	$488.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.16 / $234.16 / $234.16	Professional		$234.16	$234.16	$234.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,345.00 / $10,600.00	Facility		$1,634.00	$4,345.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.71 / $252.39 / $402.78	Professional		$182.71	$252.39	$402.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $224.48 / $301.70	Professional		$217.47	$224.48	$301.70