Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $223.87	Facility		$37.15	$42.66	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $45.71	Professional		$28.84	$39.81	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $363.08	Professional		$263.03	$363.08	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $43.65 / $81.28	Facility		$31.62	$43.65	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $45.71	Professional		$30.20	$39.81	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $43.65 / $81.28	Facility		$31.62	$43.65	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $199.53 / $199.53	Professional		$41.69	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $74.13	Professional		$36.31	$43.65	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $63.10	Professional		$51.29	$51.29	$63.10