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 $388.11 / $646.83 / $876.36	Professional		$388.11	$646.83	$876.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,096.70 / $13,253.75 / $13,253.75	Facility		$3,096.70	$13,253.75	$13,253.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,388.16 / $5,416.08 / $5,708.85	Professional		$5,388.16	$5,416.08	$5,708.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.98 / $646.83 / $1,371.28	Facility		$322.98	$646.83	$1,371.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.12 / $773.33 / $6,634.00	Professional		$316.12	$773.33	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.04 / $672.88 / $1,371.28	Facility		$326.04	$672.88	$1,371.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $773.33 / $773.33 / $773.33	Professional		$773.33	$773.33	$773.33
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 $286.70 / $378.55 / $609.23	Professional		$286.70	$378.55	$609.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $316.12 / $436.16	Professional		$65.02	$316.12	$436.16