Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $25.55 / $28.00	Facility		$19.25	$25.55	$28.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $26.95 / $38.00	Professional		$19.25	$26.95	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $122.12 / $126.59	Facility		$44.34	$122.12	$126.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $149.71 / $195.15	Professional		$149.71	$149.71	$195.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $28.00 / $42.00	Facility		$20.04	$28.00	$42.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $21.09 / $21.09	Professional		$21.09	$21.09	$21.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $28.00 / $42.00	Facility		$20.04	$28.00	$42.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.00 / $41.35	Professional		$20.00	$27.00	$41.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $25.00 / $33.75	Professional		$11.11	$25.00	$33.75