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 $181.97 / $251.19 / $302.00	Professional		$181.97	$251.19	$302.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $2,238.72	Professional		$1,412.54	$2,238.72	$2,238.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $2,818.38 / $8,709.64	Facility		$275.42	$2,818.38	$8,709.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $1,000.00	Professional		$208.93	$251.19	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $281.84 / $380.19	Facility		$199.53	$281.84	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
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 $213.80 / $295.12 / $436.52	Professional		$213.80	$295.12	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $269.15	Professional		$257.04	$269.15	$269.15