Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $29.30 / $31.97	Facility		$24.30	$29.30	$31.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $31.69 / $41.52	Professional		$26.64	$31.69	$41.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $31.82 / $31.82	Facility		$31.82	$31.82	$31.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $37.70 / $59.24	Professional		$29.85	$37.70	$59.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $74.11 / $123.37 / $143.82	Facility		$74.11	$123.37	$143.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $201.28 / $203.45 / $257.55	Professional		$201.28	$203.45	$257.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $33.95 / $55.54	Facility		$27.74	$33.95	$55.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $39.95 / $55.31	Professional		$29.25	$39.95	$55.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $34.02 / $61.38	Facility		$28.59	$34.02	$61.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $38.42 / $60.55	Professional		$29.67	$38.42	$60.55
United Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $32.92 / $51.98	Professional		$25.95	$32.92	$51.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $30.18 / $41.66	Professional		$26.23	$30.18	$41.66