Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $35.63	Professional		$28.50	$28.50	$35.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $176.95 / $176.95	Facility		$139.16	$176.95	$176.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $20.22 / $34.01	Facility		$15.73	$20.22	$34.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $19.66 / $34.01	Facility		$15.73	$19.66	$34.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $27.15 / $27.15	Professional		$27.15	$27.15	$27.15