Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,073.07 / $2,337.39 / $4,975.37	Facility		$2,073.07	$2,337.39	$4,975.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,073.07 / $2,124.90 / $2,872.65	Professional		$2,073.07	$2,124.90	$2,872.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Facility		$2,202.64	$2,202.64	$2,202.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,202.64 / $2,202.64 / $2,202.64	Professional		$2,202.64	$2,202.64	$2,202.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,461.77 / $11,383.05 / $11,383.05	Facility		$2,461.77	$11,383.05	$11,383.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $841.60 / $2,591.34 / $3,038.61	Facility		$841.60	$2,591.34	$3,038.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $532.17 / $1,020.76 / $1,943.51	Professional		$532.17	$1,020.76	$1,943.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,845.80 / $2,202.64 / $3,038.61	Facility		$1,845.80	$2,202.64	$3,038.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $844.91 / $2,202.64 / $2,202.64	Professional		$844.91	$2,202.64	$2,202.64
United Facility/Professional Professional Modifier Low / Median / High Price $2,159.44 / $2,159.44 / $2,159.44	Professional		$2,159.44	$2,159.44	$2,159.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,066.46 / $2,066.46 / $2,789.72	Professional		$2,066.46	$2,066.46	$2,789.72