Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $31.80 / $39.75	Professional		$31.80	$31.80	$39.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.80 / $102.76 / $102.76	Facility		$81.80	$102.76	$102.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $22.09 / $38.07	Facility		$17.64	$22.09	$38.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $22.09 / $38.07	Facility		$17.64	$22.09	$38.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $30.44	Professional		$30.44	$30.44	$30.44