Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,267.00 / $6,140.00	Facility		$1,000.00	$4,267.00	$6,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,050.00 / $1,900.00	Professional		$1,000.00	$1,050.00	$1,900.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,057.14 / $1,431.00 / $2,170.38	Facility		$1,057.14	$1,431.00	$2,170.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,283.00 / $2,283.00 / $2,283.00	Professional		$2,283.00	$2,283.00	$2,283.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,373.08 / $5,908.04 / $6,069.92	Professional		$3,373.08	$5,908.04	$6,069.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,430.00 / $3,440.00	Facility		$1,050.00	$1,430.00	$3,440.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,431.00 / $3,031.00	Facility		$1,050.00	$1,431.00	$3,031.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,283.00 / $2,283.00 / $2,283.00	Professional		$2,283.00	$2,283.00	$2,283.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $95.71 / $95.71	Professional		$95.71	$95.71	$95.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $968.60 / $968.60 / $1,307.60	Professional		$968.60	$968.60	$1,307.60