Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $42.96 / $47.26	Facility		$36.97	$42.96	$47.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $40.44 / $45.40	Professional		$29.20	$40.44	$45.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $48.09 / $48.09	Facility		$48.09	$48.09	$48.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $201.14 / $201.14	Professional		$201.14	$201.14	$201.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $229.05 / $229.05	Facility		$86.96	$229.05	$229.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $262.88 / $262.88 / $360.90	Professional		$262.88	$262.88	$360.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.59 / $43.71 / $85.73	Facility		$35.59	$43.71	$85.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $39.89	Professional		$39.89	$39.89	$39.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $43.82 / $85.73	Facility		$33.82	$43.82	$85.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $65.75 / $201.14	Professional		$39.89	$65.75	$201.14
United Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $42.70 / $69.92	Professional		$35.22	$42.70	$69.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $50.95 / $68.78	Professional		$50.95	$50.95	$68.78