Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $1,751.72	Professional		$1,751.72	$1,751.72	$1,751.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,080.00 / $1,080.00	Facility		$1,080.00	$1,080.00	$1,080.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $783.67 / $783.67	Professional		$783.67	$783.67	$783.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $100.00 / $2,569.00	Facility		$81.36	$100.00	$2,569.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $2,411.21	Facility		$1,751.72	$1,751.72	$2,411.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,411.21 / $2,411.21 / $2,411.21	Professional		$2,411.21	$2,411.21	$2,411.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,751.72 / $1,751.72 / $1,751.72	Facility		$1,751.72	$1,751.72	$1,751.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $783.67 / $783.67 / $2,411.21	Professional		$783.67	$783.67	$2,411.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,844.50 / $1,844.50 / $1,844.50	Professional		$1,844.50	$1,844.50	$1,844.50