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 $265.45 / $422.52 / $503.47	Professional		$265.45	$422.52	$503.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,075.12 / $3,763.28 / $3,871.52	Facility		$3,075.12	$3,763.28	$3,871.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,957.60 / $3,041.92 / $3,543.15	Professional		$2,957.60	$3,041.92	$3,543.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $374.79 / $428.09 / $861.29	Facility		$374.79	$428.09	$861.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $374.79 / $374.79 / $391.83	Professional		$374.79	$374.79	$391.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.97 / $428.09 / $861.29	Facility		$380.97	$428.09	$861.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.83 / $391.83 / $391.83	Professional		$391.83	$391.83	$391.83
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 $319.68 / $439.56 / $704.40	Professional		$319.68	$439.56	$704.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.79 / $384.92 / $516.08	Professional		$374.79	$384.92	$516.08