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 $245.47 / $616.60 / $1,479.11	Professional		$245.47	$616.60	$1,479.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,548.82 / $6,918.31	Facility		$630.96	$1,548.82	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,479.11	Professional		$416.87	$616.60	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,819.70	Facility		$512.86	$741.31	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,454.71 / $10,232.93	Facility		$436.52	$2,454.71	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,288.25	Professional		$457.09	$707.95	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,071.52	Professional		$1,000.00	$1,000.00	$1,071.52