Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.00 / $1,373.50 / $5,038.39	Facility		$1,340.00	$1,373.50	$5,038.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,373.50 / $1,423.75	Professional		$1,340.00	$1,373.50	$1,423.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Facility		$1,380.10	$1,380.10	$1,380.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,225.19 / $9,207.50 / $9,207.50	Facility		$3,225.19	$9,207.50	$9,207.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,274.74 / $10,274.74 / $14,197.28	Professional		$10,274.74	$10,274.74	$14,197.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,373.50 / $1,964.11 / $3,803.46	Facility		$1,373.50	$1,964.11	$3,803.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.18 / $1,534.18 / $1,534.18	Professional		$1,534.18	$1,534.18	$1,534.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $3,175.26	Facility		$1,380.10	$1,380.10	$3,175.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.10 / $1,380.10 / $1,380.10	Professional		$1,380.10	$1,380.10	$1,380.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,675.00 / $1,675.00	Professional		$1,675.00	$1,675.00	$1,675.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.25 / $268.25 / $362.14	Professional		$268.25	$268.25	$362.14