Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $4,185.00 / $17,181.00	Facility		$1,077.00	$4,185.00	$17,181.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,129.19 / $1,586.02 / $2,236.77	Professional		$1,129.19	$1,586.02	$2,236.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,821.00 / $17,529.00 / $36,462.00	Facility		$11,821.00	$17,529.00	$36,462.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,721.52 / $18,822.54 / $19,252.75	Facility		$14,721.52	$18,822.54	$19,252.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,755.60 / $11,004.16 / $13,183.58	Professional		$10,755.60	$11,004.16	$13,183.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,492.88 / $1,807.35 / $3,322.59	Facility		$1,492.88	$1,807.35	$3,322.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,364.21 / $1,364.21 / $1,672.70	Professional		$1,364.21	$1,364.21	$1,672.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,567.26 / $2,206.71 / $23,855.00	Facility		$1,567.26	$2,206.71	$23,855.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,364.21 / $1,364.21 / $1,364.21	Professional		$1,364.21	$1,364.21	$1,364.21
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,444.31 / $2,007.45 / $3,203.23	Professional		$1,444.31	$2,007.45	$3,203.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,672.70 / $1,731.52 / $2,291.60	Professional		$1,672.70	$1,731.52	$2,291.60