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 $301.52 / $479.96 / $573.35	Professional		$301.52	$479.96	$573.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,493.44 / $4,274.96 / $4,401.28	Facility		$3,493.44	$4,274.96	$4,401.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,359.68 / $3,458.40 / $4,025.10	Professional		$3,359.68	$3,458.40	$4,025.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $424.78 / $485.73 / $978.38	Facility		$424.78	$485.73	$978.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $424.78 / $424.78 / $445.12	Professional		$424.78	$424.78	$445.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.36 / $485.73 / $978.38	Facility		$431.36	$485.73	$978.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $445.12 / $445.12 / $445.12	Professional		$445.12	$445.12	$445.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,453.00 / $20,955.00	Facility		$4,409.00	$9,453.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.06 / $494.69 / $810.42	Professional		$364.06	$494.69	$810.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $424.78 / $436.03 / $584.30	Professional		$424.78	$436.03	$584.30