Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Professional		$104.40	$104.40	$104.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.40 / $140.40 / $140.40	Facility		$140.40	$140.40	$140.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $140.40 / $140.40	Professional		$140.40	$140.40	$140.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Facility		$104.40	$104.40	$104.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.40 / $104.40 / $104.40	Facility		$104.40	$104.40	$104.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $140.40 / $140.40	Professional		$140.40	$140.40	$140.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $150.00 / $150.00	Professional		$112.22	$150.00	$150.00