Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $224.00 / $368.63	Facility		$58.39	$224.00	$368.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $67.53 / $465.45	Professional		$58.39	$67.53	$465.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.36 / $920.88 / $2,129.91	Facility		$285.36	$920.88	$2,129.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $236.75 / $392.32	Professional		$70.68	$236.75	$392.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $643.60 / $720.24 / $720.24	Facility		$643.60	$720.24	$720.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $540.13 / $1,240.30 / $1,240.30	Professional		$540.13	$1,240.30	$1,240.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.67 / $161.85 / $350.02	Facility		$72.67	$161.85	$350.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $80.98 / $280.86	Professional		$80.98	$80.98	$280.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.87 / $200.54 / $1,060.85	Facility		$85.87	$200.54	$1,060.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $215.48 / $392.32	Professional		$70.68	$215.48	$392.32
United Facility/Professional Professional Modifier Low / Median / High Price $76.51 / $130.63 / $262.41	Professional		$76.51	$130.63	$262.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $89.34 / $118.30	Professional		$60.43	$89.34	$118.30