Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $158.53 / $215.87	Professional		$111.27	$158.53	$215.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $263.63	Professional		$172.39	$172.39	$263.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,141.64 / $1,141.64 / $1,183.27	Facility		$1,141.64	$1,141.64	$1,183.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $187.07 / $277.14	Facility		$111.27	$187.07	$277.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.27 / $167.09 / $277.14	Facility		$111.27	$167.09	$277.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $172.39 / $279.05	Professional		$172.39	$172.39	$279.05
United Facility/Professional Professional Modifier Low / Median / High Price $161.93 / $205.25 / $332.31	Professional		$161.93	$205.25	$332.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $130.63 / $233.28	Professional		$130.63	$130.63	$233.28