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 $333.90 / $542.86 / $631.28	Professional		$333.90	$542.86	$631.28
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 $1,247.35 / $11,082.10 / $11,082.10	Facility		$1,247.35	$11,082.10	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,505.14 / $3,505.14 / $3,505.14	Professional		$3,505.14	$3,505.14	$3,505.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.98 / $520.41 / $1,150.85	Facility		$322.98	$520.41	$1,150.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.12 / $317.85 / $6,634.00	Professional		$316.12	$317.85	$6,634.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.04 / $542.86 / $1,150.85	Facility		$326.04	$542.86	$1,150.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.85 / $317.85 / $317.85	Professional		$317.85	$317.85	$317.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,634.00 / $4,425.00 / $10,600.00	Facility		$1,634.00	$4,425.00	$10,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.03 / $628.15 / $1,007.11	Professional		$452.03	$628.15	$1,007.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $316.12 / $436.16	Professional		$94.28	$316.12	$436.16