Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,570.88 / $17,782.79	Facility		$1,202.26	$4,570.88	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,137.96	Professional		$1,096.48	$1,584.89	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $17,782.79 / $36,307.81	Facility		$13,182.57	$17,782.79	$36,307.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Facility		$19,054.61	$19,054.61	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $13,182.57 / $13,182.57	Professional		$10,964.78	$13,182.57	$13,182.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $17,378.01	Facility		$1,000.00	$3,715.35	$17,378.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $4,073.80	Professional		$1,148.15	$1,584.89	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $30,902.95	Facility		$1,513.56	$2,344.23	$30,902.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,235.94	Professional		$1,445.44	$2,041.74	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Professional		$1,659.59	$1,659.59	$1,819.70