Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.32 / $371.28 / $1,209.52	Facility		$318.32	$371.28	$1,209.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.53 / $321.50 / $387.25	Professional		$253.53	$321.50	$387.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Facility		$358.29	$358.29	$358.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $757.62 / $1,887.15 / $1,924.16	Facility		$757.62	$1,887.15	$1,924.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,621.34 / $2,621.34 / $3,685.80	Professional		$2,621.34	$2,621.34	$3,685.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $343.79 / $676.80 / $702.48	Facility		$343.79	$676.80	$702.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $360.39 / $360.39 / $360.39	Professional		$360.39	$360.39	$360.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.22 / $439.60 / $676.80	Facility		$353.22	$439.60	$676.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $358.29 / $358.29	Professional		$358.29	$358.29	$358.29
United Facility/Professional Professional Modifier Low / Median / High Price $676.80 / $676.80 / $676.80	Professional		$676.80	$676.80	$676.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.18 / $347.19 / $398.84	Professional		$257.18	$347.19	$398.84