Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $3,213.00 / $10,893.00	Facility		$759.00	$3,213.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.19 / $514.94 / $645.35	Professional		$336.19	$514.94	$645.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,804.61 / $2,804.61 / $2,804.61	Facility		$2,804.61	$2,804.61	$2,804.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,212.60 / $11,082.10 / $11,082.10	Facility		$2,212.60	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,404.56 / $3,708.24 / $4,079.03	Professional		$3,404.56	$3,708.24	$4,079.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.35 / $515.22 / $1,049.42	Facility		$451.35	$515.22	$1,049.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $451.08 / $451.35 / $6,634.00	Professional		$451.08	$451.35	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.20 / $525.24 / $1,049.42	Facility		$459.20	$525.24	$1,049.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $451.08 / $451.08 / $451.08	Professional		$451.08	$451.08	$451.08
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 $439.71 / $563.51 / $907.18	Professional		$439.71	$563.51	$907.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $451.35 / $463.85 / $622.09	Professional		$451.35	$463.85	$622.09