Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.21 / $222.74 / $244.97	Professional		$155.21	$222.74	$244.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.02 / $18,719.00 / $20,473.00	Facility		$1,401.02	$18,719.00	$20,473.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,792.80 / $2,204.80 / $2,447.36	Facility		$1,792.80	$2,204.80	$2,447.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.48 / $1,934.72 / $2,053.88	Professional		$1,742.48	$1,934.72	$2,053.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $214.17 / $454.04	Facility		$178.39	$214.17	$454.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $178.39 / $264.83	Professional		$178.39	$178.39	$264.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $241.66 / $1,128.84	Facility		$184.38	$241.66	$1,128.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $264.83 / $264.83	Professional		$264.83	$264.83	$264.83
United Facility/Professional Facility Modifier Low / Median / High Price $911.93 / $934.02 / $983.91	Facility		$911.93	$934.02	$983.91
United Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $203.11 / $327.31	Professional		$152.55	$203.11	$327.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $248.91 / $316.67	Professional		$178.39	$248.91	$316.67