Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $18.07 / $38.47	Facility		$16.03	$18.07	$38.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.43 / $22.34	Professional		$16.03	$16.43	$22.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $194.30	Facility		$100.00	$100.00	$194.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $22.13 / $23.49	Facility		$16.03	$22.13	$23.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $15.03	Professional		$15.03	$15.03	$15.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $23.49	Facility		$16.98	$16.98	$23.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Professional		$20.04	$20.04	$20.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.94	Professional		$16.98	$16.98	$22.94