Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.16 / $1,069.05 / $2,275.58	Facility		$948.16	$1,069.05	$2,275.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.16 / $971.86 / $1,360.02	Professional		$948.16	$971.86	$1,360.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Facility		$1,046.93	$1,046.93	$1,046.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $5,234.64 / $5,234.64	Facility		$1,690.00	$5,234.64	$5,234.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $971.86 / $1,046.93 / $1,473.43	Facility		$971.86	$1,046.93	$1,473.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $888.90 / $888.90 / $888.90	Professional		$888.90	$888.90	$888.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $971.86 / $1,046.93 / $1,389.76	Facility		$971.86	$1,046.93	$1,389.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,185.20	Professional		$1,185.20	$1,185.20	$1,185.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,413.36	Professional		$1,046.93	$1,046.93	$1,413.36