Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $266.45 / $362.84	Professional		$187.02	$266.45	$362.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $443.25	Professional		$289.52	$289.52	$443.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,918.67 / $1,918.67 / $1,988.64	Facility		$1,918.67	$1,918.67	$1,988.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $314.43 / $465.83	Facility		$187.02	$314.43	$465.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $280.83 / $465.83	Facility		$187.02	$280.83	$465.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $289.52 / $468.86	Professional		$289.52	$289.52	$468.86
United Facility/Professional Professional Modifier Low / Median / High Price $272.02 / $334.29 / $621.50	Professional		$272.02	$334.29	$621.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.93 / $224.93 / $392.12	Professional		$224.93	$224.93	$392.12