Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $72.09 / $264.44	Facility		$70.33	$72.09	$264.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $72.09 / $74.72	Professional		$70.33	$72.09	$74.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Facility		$136.94	$136.94	$136.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $369.49 / $1,429.09 / $1,429.09	Facility		$369.49	$1,429.09	$1,429.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,337.71 / $1,337.71 / $1,626.53	Professional		$1,337.71	$1,337.71	$1,626.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $112.53 / $269.43	Facility		$71.73	$112.53	$269.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $207.25 / $207.25 / $207.25	Professional		$207.25	$207.25	$207.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $136.94 / $199.62	Facility		$72.09	$136.94	$199.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
United Facility/Professional Facility Modifier Low / Median / High Price $306.88 / $306.88 / $306.88	Facility		$306.88	$306.88	$306.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.51 / $83.51 / $85.68	Professional		$83.51	$83.51	$85.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $88.59 / $119.60	Professional		$59.04	$88.59	$119.60