Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.34 / $213.90 / $215.88	Facility		$201.34	$213.90	$215.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.37 / $201.34 / $218.36	Professional		$191.37	$201.34	$218.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.57 / $1,050.57 / $1,050.57	Facility		$1,050.57	$1,050.57	$1,050.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $138.34 / $217.92	Professional		$127.85	$138.34	$217.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $352.13 / $4,042.45 / $4,042.45	Facility		$352.13	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,308.32 / $1,308.32 / $1,460.10	Professional		$1,308.32	$1,308.32	$1,460.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $213.90 / $426.84	Facility		$170.89	$213.90	$426.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $161.41 / $167.69	Professional		$161.41	$161.41	$167.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.61 / $218.18 / $606.27	Facility		$183.61	$218.18	$606.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.85 / $139.26 / $217.92	Professional		$127.85	$139.26	$217.92
United Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $208.16 / $329.13	Professional		$173.43	$208.16	$329.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.69 / $195.64 / $238.96	Professional		$167.69	$195.64	$238.96