Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $37.58 / $79.98	Facility		$33.33	$37.58	$79.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $34.15 / $46.19	Professional		$33.33	$34.15	$46.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Facility		$35.40	$35.40	$35.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $156.22	Facility		$75.00	$100.00	$156.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $41.66 / $48.85	Facility		$4.21	$41.66	$48.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.27 / $31.25	Professional		$2.75	$5.27	$31.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $35.40 / $48.85	Facility		$33.33	$35.40	$48.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $35.40 / $35.40	Professional		$4.37	$35.40	$35.40
United Facility/Professional Facility Modifier Low / Median / High Price $87.50 / $87.50 / $87.50	Facility		$87.50	$87.50	$87.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $46.87	Professional		$34.72	$34.72	$46.87