Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $10,893.00	Facility		$969.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $1,201.78	Professional		$1,201.78	$1,201.78	$1,201.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $1,562.31 / $3,411.13	Facility		$1,201.78	$1,562.31	$3,411.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $1,562.31 / $3,411.13	Facility		$1,201.78	$1,562.31	$3,411.13
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,078.00 / $2,688.00	Facility		$161.00	$1,078.00	$2,688.00