Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.53 / $1,096.26 / $3,847.08	Facility		$507.53	$1,096.26	$3,847.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.75 / $507.53 / $516.53	Professional		$348.75	$507.53	$516.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,014.52 / $2,521.67 / $2,521.67	Facility		$1,014.52	$2,521.67	$2,521.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $357.15 / $493.79 / $567.16	Facility		$357.15	$493.79	$567.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.13 / $453.13 / $453.13	Professional		$453.13	$453.13	$453.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.33 / $494.52 / $581.24	Facility		$369.33	$494.52	$581.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $404.48 / $453.13 / $670.22	Professional		$404.48	$453.13	$670.22
United Facility/Professional Facility Modifier Low / Median / High Price $508.04 / $777.30 / $1,133.71	Facility		$508.04	$777.30	$1,133.71
United Facility/Professional Professional Modifier Low / Median / High Price $393.11 / $495.59 / $786.23	Professional		$393.11	$495.59	$786.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05