Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $3,296.81 / $7,017.60	Facility		$2,924.00	$3,296.81	$7,017.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $2,997.10 / $4,051.79	Professional		$2,924.00	$2,997.10	$4,051.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,890.00 / $2,890.00 / $2,890.00	Facility		$2,890.00	$2,890.00	$2,890.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,472.25 / $15,012.90 / $15,731.30	Facility		$3,472.25	$15,012.90	$15,731.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,997.10 / $3,655.00 / $4,285.85	Facility		$2,997.10	$3,655.00	$4,285.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,741.25 / $2,741.25 / $2,741.25	Professional		$2,741.25	$2,741.25	$2,741.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,924.00 / $3,655.00 / $4,965.32	Facility		$2,924.00	$3,655.00	$4,965.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,741.25 / $2,741.25 / $2,741.25	Professional		$2,741.25	$2,741.25	$2,741.25
United Facility/Professional Facility Modifier Low / Median / High Price $5,191.33 / $5,191.33 / $5,191.33	Facility		$5,191.33	$5,191.33	$5,191.33
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,045.83	Professional		$3,045.83	$3,045.83	$3,045.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $4,111.87	Professional		$3,045.83	$3,045.83	$4,111.87