Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.30 / $4,028.00 / $9,825.00	Facility		$1,084.30	$4,028.00	$9,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.27 / $1,084.30 / $1,350.18	Professional		$701.27	$1,084.30	$1,350.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,314.00 / $11,534.00 / $20,567.00	Facility		$9,314.00	$11,534.00	$20,567.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,443.74 / $14,003.88 / $14,402.52	Facility		$11,443.74	$14,003.88	$14,402.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,004.08 / $8,230.16 / $9,589.35	Professional		$8,004.08	$8,230.16	$9,589.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,042.33 / $1,161.52 / $2,209.73	Facility		$1,042.33	$1,161.52	$2,209.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.46 / $1,060.46 / $1,060.46	Professional		$1,060.46	$1,060.46	$1,060.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,042.33 / $1,490.53 / $13,036.00	Facility		$1,042.33	$1,490.53	$13,036.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,060.46 / $1,060.46 / $1,060.46	Professional		$1,060.46	$1,060.46	$1,060.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,409.00 / $9,027.00 / $20,955.00	Facility		$4,409.00	$9,027.00	$20,955.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.91 / $1,206.28 / $1,924.20	Professional		$925.91	$1,206.28	$1,924.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,166.03 / $1,166.03 / $1,574.14	Professional		$1,166.03	$1,166.03	$1,574.14