Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $257.04	Facility		$208.93	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Professional		$257.04	$257.04	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $23,988.33 / $33,884.42	Facility		$7,585.78	$23,988.33	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $295.12 / $549.54	Facility		$257.04	$295.12	$549.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $316.23	Professional		$186.21	$269.15	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $31,622.78	Facility		$257.04	$371.54	$31,622.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $11,481.54 / $15,135.61	Facility		$6,165.95	$11,481.54	$15,135.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10