Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $3,596.00 / $10,836.00	Facility		$825.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.00 / $825.00 / $1,361.25	Professional		$825.00	$825.00	$1,361.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $665.00 / $1,498.12	Professional		$434.00	$665.00	$1,498.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,220.45 / $7,220.45 / $7,220.45	Professional		$7,220.45	$7,220.45	$7,220.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $866.25 / $2,341.67	Facility		$825.00	$866.25	$2,341.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $866.25 / $2,341.67	Facility		$825.00	$866.25	$2,341.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $616.00 / $1,218.00	Professional		$434.00	$616.00	$1,218.00
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 $697.56 / $2,239.00 / $2,239.00	Professional		$697.56	$2,239.00	$2,239.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,020.75 / $1,020.75 / $1,378.01	Professional		$1,020.75	$1,020.75	$1,378.01