Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Professional		$49.91	$49.91	$49.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,300.00 / $1,300.00	Professional		$1,105.00	$1,300.00	$1,300.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $936.60	Facility		$65.00	$100.00	$936.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $49.91	Facility		$49.91	$49.91	$49.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $576.36	Professional		$49.91	$49.91	$576.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $49.91 / $1,300.00	Facility		$49.91	$49.91	$1,300.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $1,300.00 / $1,300.00	Professional		$73.06	$1,300.00	$1,300.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $864.43 / $864.43 / $864.43	Professional		$864.43	$864.43	$864.43