Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $81.87 / $96.75	Professional		$51.79	$81.87	$96.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,821.00 / $17,552.00 / $36,462.00	Facility		$11,821.00	$17,552.00	$36,462.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,276.10 / $25,649.25 / $32,048.17	Facility		$11,276.10	$25,649.25	$32,048.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,126.45 / $18,425.12 / $18,425.12	Professional		$10,126.45	$18,425.12	$18,425.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $429.02 / $2,833.87	Facility		$77.63	$429.02	$2,833.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $408.59 / $408.59 / $2,380.19	Professional		$408.59	$408.59	$2,380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $449.11 / $20,567.00	Facility		$77.63	$449.11	$20,567.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,380.19 / $2,380.19 / $2,380.19	Professional		$2,380.19	$2,380.19	$2,380.19
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $89.05 / $148.04	Professional		$67.84	$89.05	$148.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $625.58 / $2,382.64 / $3,396.82	Professional		$625.58	$2,382.64	$3,396.82