Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $90.83 / $125.66	Facility		$59.35	$90.83	$125.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $62.21 / $80.72	Professional		$59.35	$62.21	$80.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $387.65 / $401.76	Facility		$140.72	$387.65	$401.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $16.00 / $91.45	Facility		$12.22	$16.00	$91.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $66.94 / $128.38	Professional		$12.00	$66.94	$128.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $88.96	Facility		$14.00	$14.00	$88.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $66.94	Professional		$14.00	$14.00	$66.94
United Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $18.89	Professional		$14.00	$14.00	$18.89