Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $776.25	Professional		$363.08	$645.65	$776.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,754.40 / $5,754.40	Professional		$5,370.32	$5,754.40	$5,754.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,089.30 / $7,943.28	Facility		$602.56	$2,089.30	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $4,570.88	Professional		$389.05	$660.69	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $758.58 / $1,412.54	Facility		$363.08	$758.58	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $11,220.18	Facility		$1,698.24	$5,248.07	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $602.56	Professional		$288.40	$398.11	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $346.74	Professional		$316.23	$316.23	$346.74