Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,630.78 / $12,022.64	Facility		$831.76	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $691.83	Professional		$346.74	$407.38	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $794.33	Professional		$309.03	$512.86	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $40,738.03	Facility		$54.95	$56.23	$40,738.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,981.07 / $3,981.07	Professional		$3,311.31	$3,981.07	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,290.87 / $7,079.46	Facility		$457.09	$2,290.87	$7,079.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $3,162.28	Professional		$346.74	$389.05	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $489.78 / $954.99	Facility		$363.08	$489.78	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $831.76	Professional		$281.84	$501.19	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $9,120.11	Facility		$1,380.38	$4,073.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $676.08	Professional		$316.23	$436.52	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $380.19	Professional		$363.08	$380.19	$380.19