Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.40 / $460.28 / $1,289.96	Facility		$173.40	$460.28	$1,289.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $173.40 / $218.06	Professional		$147.12	$173.40	$218.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.98 / $187.60 / $793.48	Facility		$165.98	$187.60	$793.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $320.02 / $383.42	Professional		$320.02	$320.02	$383.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $420.35 / $1,247.92 / $1,247.92	Facility		$420.35	$1,247.92	$1,247.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.34 / $1,308.34 / $1,970.40	Professional		$1,308.34	$1,308.34	$1,970.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $262.72 / $391.45	Facility		$157.63	$262.72	$391.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $262.72 / $328.40	Professional		$262.72	$262.72	$328.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $251.71 / $447.42	Facility		$157.63	$251.71	$447.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $288.99 / $459.76	Professional		$248.21	$288.99	$459.76
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $110.34 / $168.14	Professional		$110.34	$110.34	$168.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $205.82 / $262.72	Professional		$136.09	$205.82	$262.72