Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $104.51 / $132.85	Professional		$96.88	$104.51	$132.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $109.51	Professional		$109.51	$109.51	$109.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $787.82 / $1,002.90	Professional		$787.82	$787.82	$1,002.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.94 / $154.75 / $214.27	Professional		$130.94	$154.75	$214.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $112.30	Professional		$109.51	$109.51	$112.30
United Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $136.29 / $200.20	Professional		$98.39	$136.29	$200.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $116.58 / $161.33	Professional		$101.60	$116.58	$161.33