Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.57 / $94.62	Facility		$94.44	$94.57	$94.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $94.44 / $95.31	Professional		$80.83	$94.44	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $46.50 / $58.13	Professional		$46.50	$46.50	$58.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.19 / $94.44 / $95.31	Facility		$40.19	$94.44	$95.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $40.22 / $40.22	Professional		$40.22	$40.22	$40.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $94.44 / $95.31	Facility		$40.22	$94.44	$95.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $40.22 / $46.34	Professional		$40.22	$40.22	$46.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $54.42	Professional		$15.39	$15.39	$54.42