Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $410.00 / $1,504.00	Facility		$400.00	$410.00	$1,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $410.00 / $425.00	Professional		$400.00	$410.00	$425.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Facility		$432.81	$432.81	$432.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.44 / $2,887.57 / $2,887.57	Facility		$1,011.44	$2,887.57	$2,887.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,061.82 / $3,061.82 / $4,452.38	Professional		$3,061.82	$3,061.82	$4,452.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $586.29 / $1,135.35	Facility		$410.00	$586.29	$1,135.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.13 / $481.13 / $481.13	Professional		$481.13	$481.13	$481.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $432.81 / $995.79	Facility		$415.00	$432.81	$995.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $432.81 / $432.81 / $432.81	Professional		$432.81	$432.81	$432.81
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.63 / $425.63 / $574.60	Professional		$425.63	$425.63	$574.60