Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $124.32 / $333.67	Facility		$44.02	$124.32	$333.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $41.44 / $46.93	Professional		$39.33	$41.44	$46.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $371.88 / $475.16	Facility		$157.63	$371.88	$475.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $24.92 / $39.24	Professional		$23.02	$24.92	$39.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $296.60 / $296.60	Facility		$85.00	$296.60	$296.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $269.37 / $269.37 / $269.37	Professional		$269.37	$269.37	$269.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $43.54 / $87.85	Facility		$31.33	$43.54	$87.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $29.07 / $30.61	Professional		$29.07	$29.07	$30.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $217.44 / $475.16	Facility		$37.79	$217.44	$475.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $25.09 / $39.24	Professional		$23.02	$25.09	$39.24
United Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $44.21 / $67.50	Professional		$36.09	$44.21	$67.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $42.72 / $43.46	Professional		$30.61	$42.72	$43.46