Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.04 / $453.11 / $627.90	Professional		$348.04	$453.11	$627.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.38 / $3,516.99 / $3,645.20	Facility		$1,262.38	$3,516.99	$3,645.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.01 / $426.84 / $721.76	Facility		$281.01	$426.84	$721.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.01 / $281.01 / $923.06	Professional		$281.01	$281.01	$923.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $281.01 / $670.81	Facility		$200.00	$281.01	$670.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $206.00	Professional		$170.00	$200.00	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.55 / $426.86 / $687.65	Professional		$358.55	$426.86	$687.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $611.08 / $611.08 / $611.08	Professional		$611.08	$611.08	$611.08