Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.45 / $116.49 / $118.51	Facility		$110.45	$116.49	$118.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $110.45 / $118.51	Professional		$44.99	$110.45	$118.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.72 / $264.75 / $346.12	Facility		$246.72	$264.75	$346.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $332.55 / $349.35	Facility		$133.00	$332.55	$349.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,033.75 / $1,033.75 / $1,033.75	Professional		$1,033.75	$1,033.75	$1,033.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $84.17 / $163.09	Facility		$61.97	$84.17	$163.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $59.75 / $61.97	Professional		$59.75	$59.75	$61.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $103.22 / $258.06	Facility		$64.78	$103.22	$258.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $59.75 / $151.30	Professional		$59.75	$59.75	$151.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $81.42 / $261.88	Professional		$42.27	$81.42	$261.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $66.53 / $87.45	Professional		$61.97	$66.53	$87.45