Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $275.42	Professional		$162.18	$229.09	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,089.30	Professional		$1,737.80	$2,089.30	$2,089.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,905.46 / $7,244.36	Facility		$223.87	$1,905.46	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $1,096.48	Professional		$190.55	$229.09	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $346.74	Facility		$190.55	$263.03	$346.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,606.93 / $13,489.63	Facility		$2,187.76	$6,606.93	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $389.05	Professional		$194.98	$257.04	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42