Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $59.09 / $60.92	Facility		$58.48	$59.09	$60.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $60.31 / $65.79	Professional		$44.47	$60.31	$65.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Professional		$56.91	$56.91	$56.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $116.88 / $325.58 / $330.46	Facility		$116.88	$325.58	$330.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $69.56 / $86.24	Facility		$42.78	$69.56	$86.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $35.03 / $69.56	Professional		$27.63	$35.03	$69.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $69.56 / $87.12	Facility		$40.39	$69.56	$87.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $56.91 / $63.27	Professional		$27.63	$56.91	$63.27
United Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $52.06 / $70.56	Professional		$40.10	$52.06	$70.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $69.56 / $93.92	Professional		$69.56	$69.56	$93.92