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 $1,096.48 / $2,089.30 / $3,090.30	Professional		$1,096.48	$2,089.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,951.21	Professional		$1,698.24	$2,344.23	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $16,218.10 / $16,218.10	Professional		$12,882.50	$16,218.10	$16,218.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $8,511.38	Facility		$1,000.00	$2,691.53	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $3,090.30	Professional		$1,737.80	$2,089.30	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,089.30	Professional		$1,995.26	$1,995.26	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $4,466.84	Facility		$1,778.28	$2,290.87	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $2,884.03	Professional		$1,621.81	$2,290.87	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,951.21	Professional		$1,412.54	$1,949.84	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30