Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.75 / $2,244.00 / $7,513.00	Facility		$529.75	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $494.05 / $619.38	Professional		$227.51	$494.05	$619.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.56 / $362.56 / $374.41	Facility		$362.56	$362.56	$374.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,263.99 / $3,481.61 / $3,608.53	Facility		$1,263.99	$3,481.61	$3,608.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,046.97 / $4,046.97 / $5,564.03	Professional		$4,046.97	$4,046.97	$5,564.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $432.01 / $610.66 / $881.39	Facility		$432.01	$610.66	$881.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $635.50 / $2,042.00 / $4,336.00	Professional		$635.50	$2,042.00	$4,336.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.49 / $610.66 / $881.39	Facility		$394.49	$610.66	$881.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $540.82 / $540.82 / $540.82	Professional		$540.82	$540.82	$540.82
United Facility/Professional Facility Modifier Low / Median / High Price $371.00 / $1,529.00 / $3,287.00	Facility		$371.00	$1,529.00	$3,287.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.36 / $608.21 / $1,036.58	Professional		$445.36	$608.21	$1,036.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $480.01 / $678.59 / $750.00	Professional		$480.01	$678.59	$750.00