Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.00 / $3,445.00 / $11,453.00	Facility		$828.00	$3,445.00	$11,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.00 / $3,792.00 / $12,767.00	Professional		$790.00	$3,792.00	$12,767.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,172.00 / $1,172.00 / $1,677.52	Facility		$1,172.00	$1,172.00	$1,677.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $997.03 / $997.03 / $1,345.99	Professional		$997.03	$997.03	$1,345.99