Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,066.00 / $3,910.40	Facility		$1,040.00	$1,066.00	$3,910.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,066.00 / $1,105.00	Professional		$1,040.00	$1,066.00	$1,105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,493.27 / $7,117.97 / $7,117.97	Facility		$2,493.27	$7,117.97	$7,117.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,425.58 / $7,425.58 / $10,975.35	Professional		$7,425.58	$7,425.58	$10,975.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,060.80 / $1,524.38 / $2,951.94	Facility		$1,060.80	$1,524.38	$2,951.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.02 / $1,186.02 / $1,186.02	Professional		$1,186.02	$1,186.02	$1,186.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,066.90 / $2,259.92	Facility		$1,066.00	$1,066.90	$2,259.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,267.10	Professional		$1,235.00	$1,235.00	$1,267.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,157.01 / $1,235.00 / $1,667.25	Professional		$1,157.01	$1,235.00	$1,667.25