Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $3,682.00 / $12,281.00	Facility		$945.00	$3,682.00	$12,281.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.00 / $4,561.00 / $13,004.00	Professional		$1,093.00	$4,561.00	$13,004.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.00 / $2,042.00 / $4,336.00	Professional		$2,042.00	$2,042.00	$4,336.00
United Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $1,529.00 / $3,287.00	Facility		$365.00	$1,529.00	$3,287.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00