Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $105.84 / $105.84	Facility		$105.84	$105.84	$105.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $104.74 / $104.74	Professional		$104.74	$104.74	$104.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $134.12 / $134.12	Professional		$134.12	$134.12	$134.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $105.84 / $105.84	Facility		$105.84	$105.84	$105.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.74 / $104.74 / $134.12	Professional		$104.74	$104.74	$134.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00