Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $12,882.50	Facility		$1,000.00	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,445.44 / $2,089.30	Professional		$549.54	$1,445.44	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,905.46 / $5,248.07	Facility		$616.60	$1,905.46	$5,248.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,445.44 / $2,089.30	Professional		$691.83	$1,445.44	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,513.56 / $3,162.28	Facility		$645.65	$1,513.56	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,709.64	Facility		$1,380.38	$4,073.80	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $3,311.31	Professional		$1,479.11	$2,187.76	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $575.44	Professional		$537.03	$575.44	$575.44