Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,920.77 / $3,406.72 / $11,098.10	Facility		$2,920.77	$3,406.72	$11,098.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,328.82 / $2,949.98 / $3,553.25	Professional		$2,328.82	$2,949.98	$3,553.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Facility		$3,384.12	$3,384.12	$3,384.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,908.42 / $22,577.61 / $22,577.61	Facility		$7,908.42	$22,577.61	$22,577.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,051.83 / $24,051.83 / $34,812.83	Professional		$24,051.83	$24,051.83	$34,812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,154.43 / $4,200.00 / $6,433.39	Facility		$3,154.43	$4,200.00	$6,433.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,761.94 / $3,761.94 / $3,761.94	Professional		$3,761.94	$3,761.94	$3,761.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,384.12 / $4,033.49 / $5,081.14	Facility		$3,384.12	$4,033.49	$5,081.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $3,384.12	Professional		$3,384.12	$3,384.12	$3,384.12
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,200.00	Professional		$4,200.00	$4,200.00	$4,200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,769.63 / $3,570.00 / $3,739.00	Professional		$2,769.63	$3,570.00	$3,739.00