Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $85.06 / $86.56	Facility		$80.65	$85.06	$86.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.42 / $93.67	Professional		$59.04	$82.42	$93.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $335.42 / $404.50	Facility		$104.76	$335.42	$404.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.09 / $438.09 / $438.09	Professional		$438.09	$438.09	$438.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $205.47 / $425.37 / $486.73	Facility		$205.47	$425.37	$486.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $522.04 / $522.04 / $784.73	Professional		$522.04	$522.04	$784.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $88.78 / $173.40	Facility		$70.97	$88.78	$173.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $91.81 / $91.81	Professional		$91.81	$91.81	$91.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $89.27 / $190.11	Facility		$70.97	$89.27	$190.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $141.19 / $438.09	Professional		$91.81	$141.19	$438.09
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $88.06 / $146.62	Professional		$70.59	$88.06	$146.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $80.22 / $108.30	Professional		$80.22	$80.22	$108.30