Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.38 / $1,430.40 / $1,475.10	Facility		$1,153.38	$1,430.40	$1,475.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.48 / $1,385.70 / $4,157.53	Professional		$1,128.48	$1,385.70	$4,157.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $11,495.44	Facility		$55.00	$55.00	$11,495.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,107.12 / $10,107.12 / $10,107.12	Professional		$10,107.12	$10,107.12	$10,107.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $938.70 / $1,203.68 / $2,296.85	Facility		$938.70	$1,203.68	$2,296.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $894.00 / $894.00 / $894.00	Professional		$894.00	$894.00	$894.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $901.54 / $1,295.42 / $2,401.82	Facility		$901.54	$1,295.42	$2,401.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $894.00 / $1,594.11 / $2,882.97	Professional		$894.00	$1,594.11	$2,882.97
United Facility/Professional Professional Modifier Low / Median / High Price $810.43 / $1,063.69 / $1,684.00	Professional		$810.43	$1,063.69	$1,684.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.85 / $894.00 / $1,212.98	Professional		$776.85	$894.00	$1,212.98