Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,774.00 / $13,004.00	Facility		$945.00	$3,774.00	$13,004.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.63 / $771.65 / $897.44	Professional		$474.63	$771.65	$897.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,091.22 / $27,091.22 / $27,091.22	Facility		$27,091.22	$27,091.22	$27,091.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,361.68 / $107,048.30 / $107,048.30	Facility		$1,361.68	$107,048.30	$107,048.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,691.83 / $3,691.83 / $3,691.83	Professional		$3,691.83	$3,691.83	$3,691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.15 / $569.26 / $1,635.90	Facility		$354.15	$569.26	$1,635.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.73 / $346.73 / $347.01	Professional		$346.73	$346.73	$347.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.39 / $771.65 / $1,635.90	Facility		$357.39	$771.65	$1,635.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $347.01 / $347.01 / $347.01	Professional		$347.01	$347.01	$347.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,503.00 / $19,002.00 / $40,083.00	Facility		$7,503.00	$19,002.00	$40,083.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.58 / $892.95 / $1,425.59	Professional		$642.58	$892.95	$1,425.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.73 / $356.46 / $478.22	Professional		$346.73	$356.46	$478.22