Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.76 / $285.76 / $367.77	Facility		$266.76	$285.76	$367.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.80 / $367.77 / $381.23	Professional		$358.80	$367.77	$381.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Facility		$381.23	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $356.25 / $475.41 / $475.41	Facility		$356.25	$475.41	$475.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $677.52 / $941.85 / $1,771.58	Professional		$677.52	$941.85	$1,771.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $800.36	Facility		$95.00	$95.00	$800.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $141.09 / $574.05	Professional		$141.09	$141.09	$574.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.98 / $381.23 / $605.48	Facility		$365.98	$381.23	$605.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $390.00	Professional		$390.00	$390.00	$390.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $76.00 / $83.36	Professional		$61.75	$76.00	$83.36