Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $158.58 / $162.52	Facility		$153.33	$158.58	$162.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $158.58 / $162.52	Professional		$153.33	$158.58	$162.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $934.12 / $934.12	Facility		$336.48	$934.12	$934.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.07 / $1,215.07 / $1,506.98	Professional		$1,215.07	$1,215.07	$1,506.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.58 / $211.33 / $243.93	Facility		$158.58	$211.33	$243.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $176.11 / $176.11	Professional		$176.11	$176.11	$176.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $219.26 / $367.14	Facility		$153.33	$219.26	$367.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $278.08	Professional		$164.86	$164.86	$278.08
United Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $211.80 / $307.81	Professional		$154.82	$211.80	$307.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $152.94 / $242.64	Professional		$152.94	$152.94	$242.64