Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.26 / $47.74	Professional		$13.80	$30.26	$47.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $36.15 / $65.19	Professional		$17.16	$36.15	$65.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.76 / $88.87 / $88.87	Facility		$81.76	$88.87	$88.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $291.69 / $355.35	Professional		$158.82	$291.69	$355.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $33.84 / $54.50	Facility		$15.32	$33.84	$54.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $45.54 / $66.23	Professional		$20.09	$45.54	$66.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $33.76 / $54.50	Facility		$15.32	$33.76	$54.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $37.43 / $68.30	Professional		$17.23	$37.43	$68.30
United Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $38.47 / $54.21	Professional		$31.05	$38.47	$54.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $39.78 / $56.24	Professional		$35.33	$39.78	$56.24