Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.34 / $214.19 / $291.64	Professional		$150.34	$214.19	$291.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $232.88 / $356.25	Professional		$232.88	$232.88	$356.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,541.69 / $1,541.69 / $1,597.90	Facility		$1,541.69	$1,541.69	$1,597.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $252.75 / $374.45	Facility		$150.34	$252.75	$374.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $225.76 / $374.45	Facility		$150.34	$225.76	$374.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.88 / $232.88 / $376.90	Professional		$232.88	$232.88	$376.90
United Facility/Professional Professional Modifier Low / Median / High Price $218.59 / $268.62 / $439.56	Professional		$218.59	$268.62	$439.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $200.02 / $315.19	Professional		$200.02	$200.02	$315.19