Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.53 / $78.95	Facility		$21.00	$21.53	$78.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.53 / $22.31	Professional		$21.00	$21.53	$22.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Facility		$174.33	$174.33	$174.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.40 / $1,163.08 / $1,163.08	Facility		$407.40	$1,163.08	$1,163.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.72 / $1,375.72 / $1,793.40	Professional		$1,375.72	$1,375.72	$1,793.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $251.94 / $380.70	Facility		$21.79	$251.94	$380.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $193.80 / $193.80	Professional		$193.80	$193.80	$193.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $174.33 / $351.56	Facility		$26.50	$174.33	$351.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $174.33 / $174.33	Professional		$174.33	$174.33	$174.33
United Facility/Professional Professional Modifier Low / Median / High Price $114.41 / $137.29 / $244.90	Professional		$114.41	$137.29	$244.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $282.00 / $380.70	Professional		$109.47	$282.00	$380.70