Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Professional		$6,932.50	$6,932.50	$6,932.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,956.00 / $16,956.00 / $16,956.00	Facility		$16,956.00	$16,956.00	$16,956.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,956.00 / $16,956.00 / $16,956.00	Professional		$16,956.00	$16,956.00	$16,956.00
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 $6,932.50 / $6,932.50 / $6,932.50	Facility		$6,932.50	$6,932.50	$6,932.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Professional		$6,932.50	$6,932.50	$6,932.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,932.50 / $6,932.50 / $6,932.50	Facility		$6,932.50	$6,932.50	$6,932.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,932.50 / $16,956.00 / $16,956.00	Professional		$6,932.50	$16,956.00	$16,956.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $540.54 / $540.54	Professional		$540.54	$540.54	$540.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,296.31 / $8,068.53 / $8,068.53	Professional		$7,296.31	$8,068.53	$8,068.53