Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.38 / $391.38 / $433.76	Facility		$391.38	$391.38	$433.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.41 / $433.76 / $630.33	Professional		$371.41	$433.76	$630.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,287.90 / $3,299.61 / $3,299.61	Facility		$1,287.90	$3,299.61	$3,299.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,663.00 / $3,879.51 / $3,985.81	Professional		$3,663.00	$3,879.51	$3,985.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $433.76 / $806.80 / $1,286.04	Facility		$433.76	$806.80	$1,286.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $405.00 / $405.00	Professional		$405.00	$405.00	$405.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.76 / $818.33 / $1,286.04	Facility		$433.76	$818.33	$1,286.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $405.00 / $800.17 / $2,250,000.00	Professional		$405.00	$800.17	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $838.00 / $898.00	Professional		$792.00	$838.00	$898.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.00 / $1,071.00 / $1,445.85	Professional		$1,071.00	$1,071.00	$1,445.85