Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,036.26 / $5,678.38 / $12,087.00	Facility		$5,036.26	$5,678.38	$12,087.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,036.26 / $5,162.16 / $6,978.75	Professional		$5,036.26	$5,162.16	$6,978.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Facility		$5,351.02	$5,351.02	$5,351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,980.55 / $25,317.80 / $25,317.80	Facility		$5,980.55	$25,317.80	$25,317.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,162.16 / $6,295.32 / $7,381.89	Facility		$5,162.16	$6,295.32	$7,381.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,721.49 / $4,721.49 / $4,721.49	Professional		$4,721.49	$4,721.49	$4,721.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,971.92 / $5,351.02 / $7,381.89	Facility		$4,971.92	$5,351.02	$7,381.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,855.30 / $4,855.30 / $8,011.25	Facility		$4,855.30	$4,855.30	$8,011.25
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,246.10	Professional		$5,246.10	$5,246.10	$5,246.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $7,082.24	Professional		$5,246.10	$5,246.10	$7,082.24