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 $482.10 / $783.63 / $911.26	Professional		$482.10	$783.63	$911.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,044.29 / $10,044.29 / $10,044.29	Facility		$10,044.29	$10,044.29	$10,044.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,708.20 / $39,689.10 / $39,689.10	Facility		$1,708.20	$39,689.10	$39,689.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,060.01 / $5,060.01 / $5,060.01	Professional		$5,060.01	$5,060.01	$5,060.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.20 / $659.86 / $1,661.30	Facility		$354.20	$659.86	$1,661.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $348.27 / $13,222.00	Professional		$346.40	$348.27	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.96 / $783.63 / $1,661.30	Facility		$357.96	$783.63	$1,661.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.27 / $348.27 / $348.27	Professional		$348.27	$348.27	$348.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.59 / $906.40 / $1,461.41	Professional		$652.59	$906.40	$1,461.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $420.83 / $478.41	Professional		$346.40	$420.83	$478.41