Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.66 / $5.72 / $5.90	Facility		$5.66	$5.72	$5.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.84 / $6.37	Professional		$4.30	$5.84	$6.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $216.93 / $233.62	Facility		$13.68	$216.93	$233.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $6.74 / $82.80	Facility		$3.64	$6.74	$82.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $3.40 / $6.74	Professional		$2.68	$3.40	$6.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $6.74 / $82.80	Facility		$3.64	$6.74	$82.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $5.50 / $6.11	Professional		$2.68	$5.50	$6.11
United Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $6.74 / $6.74	Facility		$5.39	$6.74	$6.74
United Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.04 / $6.97	Professional		$4.00	$5.04	$6.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $6.74 / $9.10	Professional		$6.74	$6.74	$9.10