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 $331.02 / $527.26 / $616.89	Professional		$331.02	$527.26	$616.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,186.40 / $87,953.00 / $87,953.00	Facility		$2,186.40	$87,953.00	$87,953.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,364.64 / $3,796.64 / $4,030.50	Professional		$3,364.64	$3,796.64	$4,030.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $444.56 / $527.39 / $1,074.80	Facility		$444.56	$527.39	$1,074.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.56 / $445.75 / $15,626.00	Professional		$444.56	$445.75	$15,626.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.25 / $530.95 / $1,074.80	Facility		$453.25	$530.95	$1,074.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $445.75 / $445.75 / $445.75	Professional		$445.75	$445.75	$445.75
United Facility/Professional Facility Modifier Low / Median / High Price $7,503.00 / $19,002.00 / $40,083.00	Facility		$7,503.00	$19,002.00	$40,083.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.53 / $557.78 / $884.74	Professional		$411.53	$557.78	$884.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $444.56 / $486.49 / $611.89	Professional		$444.56	$486.49	$611.89