Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.84 / $433.81 / $1,522.37	Facility		$200.84	$433.81	$1,522.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $200.84 / $204.36	Professional		$137.97	$200.84	$204.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $402.07 / $999.31 / $999.31	Facility		$402.07	$999.31	$999.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.54 / $195.60 / $224.76	Facility		$141.54	$195.60	$224.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $179.57 / $179.57 / $179.57	Professional		$179.57	$179.57	$179.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.37 / $195.97 / $230.42	Facility		$146.37	$195.97	$230.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $179.57 / $265.42	Professional		$160.01	$179.57	$265.42
United Facility/Professional Professional Modifier Low / Median / High Price $155.79 / $196.40 / $311.93	Professional		$155.79	$196.40	$311.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05