Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $3,682.00 / $10,893.00	Facility		$732.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.61 / $655.61 / $655.61	Professional		$655.61	$655.61	$655.61
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 $655.61 / $852.29 / $1,860.88	Facility		$655.61	$852.29	$1,860.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.00 / $3,330.00 / $3,879.00	Professional		$3,330.00	$3,330.00	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $852.29 / $1,860.88	Facility		$655.61	$852.29	$1,860.88
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,100.00 / $4,562.00	Facility		$597.00	$2,100.00	$4,562.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $18.01	Professional		$13.34	$13.34	$18.01