Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $41.55 / $42.24	Facility		$39.39	$41.55	$42.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $41.55 / $48.81	Professional		$26.29	$41.55	$48.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $37.74 / $43.04	Facility		$33.49	$37.74	$43.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.76 / $190.76 / $217.93	Facility		$96.76	$190.76	$217.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $303.04 / $311.68 / $352.58	Professional		$303.04	$311.68	$352.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $42.80 / $83.51	Facility		$39.39	$42.80	$83.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $39.21 / $39.21	Professional		$39.21	$39.21	$39.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $45.62 / $83.51	Facility		$37.74	$45.62	$83.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $39.21 / $39.21	Professional		$39.21	$39.21	$39.21
United Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $44.76 / $70.88	Professional		$34.09	$44.76	$70.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $92.39	Professional		$68.44	$68.44	$92.39