Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $902.00 / $1,920.00	Facility		$800.00	$902.00	$1,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $820.00 / $1,115.20	Professional		$800.00	$820.00	$1,115.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $1,000.00 / $2,321.06	Facility		$850.00	$1,000.00	$2,321.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $700.47 / $905.43 / $1,172.59	Facility		$700.47	$905.43	$1,172.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $1,172.59	Facility		$212.00	$212.00	$1,172.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $286.20	Professional		$212.00	$212.00	$286.20