Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $5,133.39	Professional		$5,133.39	$5,133.39	$5,133.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,740.00 / $16,740.00 / $16,740.00	Facility		$16,740.00	$16,740.00	$16,740.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,740.00 / $16,740.00 / $16,740.00	Professional		$16,740.00	$16,740.00	$16,740.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $7,633.41	Facility		$5,133.39	$5,133.39	$7,633.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $5,133.39	Professional		$5,133.39	$5,133.39	$5,133.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,133.39 / $5,133.39 / $7,633.41	Facility		$5,133.39	$5,133.39	$7,633.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,133.39 / $16,740.00 / $16,740.00	Professional		$5,133.39	$16,740.00	$16,740.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,305.45 / $5,305.45 / $5,612.55	Professional		$5,305.45	$5,305.45	$5,612.55