Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,570.88 / $6,309.57	Facility		$1,000.00	$4,570.88	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,778.28	Professional		$1,000.00	$1,047.13	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,187.76	Facility		$1,047.13	$1,445.44	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $4,570.88	Facility		$1,000.00	$1,905.46	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $2,089.30	Professional		$1,000.00	$1,047.13	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,691.53	Facility		$1,000.00	$1,288.25	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $630.96 / $831.76	Facility		$602.56	$630.96	$831.76