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 $223.87 / $309.03 / $380.19	Professional		$223.87	$309.03	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $2,884.03	Professional		$2,398.83	$2,884.03	$2,884.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,905.46 / $7,244.36	Facility		$309.03	$1,905.46	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $1,000.00	Professional		$263.03	$316.23	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $363.08 / $478.63	Facility		$263.03	$363.08	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,344.23 / $10,232.93	Facility		$389.05	$2,344.23	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $537.03	Professional		$269.15	$354.81	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42