Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.72 / $1,095.97 / $1,296.02	Facility		$873.72	$1,095.97	$1,296.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $1,030.90 / $1,296.16	Professional		$716.54	$1,030.90	$1,296.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $936.57 / $936.57	Facility		$936.57	$936.57	$936.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $796.08 / $936.57	Professional		$796.08	$796.08	$936.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,037.57 / $6,600.33 / $6,840.95	Facility		$2,037.57	$6,600.33	$6,840.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,403.49 / $6,403.49 / $10,548.23	Professional		$6,403.49	$6,403.49	$10,548.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.90 / $263.87 / $1,473.98	Facility		$126.90	$263.87	$1,473.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $216.58 / $1,030.90	Professional		$103.09	$216.58	$1,030.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $259.02 / $1,394.17	Facility		$103.09	$259.02	$1,394.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.29 / $796.08 / $936.57	Professional		$131.29	$796.08	$936.57
United Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $114.55 / $263.87	Professional		$65.16	$114.55	$263.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $639.80 / $1,031.53 / $1,392.57	Professional		$639.80	$1,031.53	$1,392.57