Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $62.46 / $102.67	Facility		$42.78	$62.46	$102.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $43.85 / $45.46	Professional		$42.78	$43.85	$45.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Facility		$45.46	$45.46	$45.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $236.20 / $236.20	Facility		$80.00	$236.20	$236.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $61.18 / $72.66	Facility		$42.78	$61.18	$72.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $45.46 / $62.71	Facility		$42.78	$45.46	$62.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $44.57 / $60.17	Professional		$44.57	$44.57	$60.17