Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $3,213.00 / $10,893.00	Facility		$867.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,226.26 / $1,902.39 / $2,327.07	Professional		$1,226.26	$1,902.39	$2,327.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,050.58 / $3,050.58 / $3,050.58	Facility		$3,050.58	$3,050.58	$3,050.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,944.98 / $12,054.10 / $12,054.10	Facility		$8,944.98	$12,054.10	$12,054.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,208.56 / $11,470.88 / $13,745.40	Professional		$10,208.56	$11,470.88	$13,745.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.10 / $1,700.73 / $2,947.49	Facility		$180.10	$1,700.73	$2,947.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.37 / $1,519.69 / $6,634.00	Professional		$167.37	$1,519.69	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $1,902.39 / $4,033.07	Facility		$184.66	$1,902.39	$4,033.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,519.69 / $1,519.69 / $1,519.69	Professional		$1,519.69	$1,519.69	$1,519.69
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 $1,512.90 / $2,105.40 / $3,367.73	Professional		$1,512.90	$2,105.40	$3,367.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $918.58 / $1,452.73 / $2,077.84	Professional		$918.58	$1,452.73	$2,077.84