Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.50 / $936.00 / $936.00	Facility		$175.50	$936.00	$936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $268.52 / $333.67	Professional		$124.50	$268.52	$333.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Facility		$206.70	$206.70	$206.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $744.30 / $744.30	Facility		$234.00	$744.30	$744.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $158.77 / $206.70	Facility		$127.09	$158.77	$206.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $175.50 / $175.50	Professional		$175.50	$175.50	$175.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.09 / $206.70 / $206.70	Facility		$206.09	$206.70	$206.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $202.80 / $273.77	Professional		$202.80	$202.80	$273.77