Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $89.90 / $189.67	Facility		$86.94	$89.90	$189.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $88.16 / $119.42	Professional		$87.28	$88.16	$119.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $87.28 / $87.28	Facility		$82.34	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $427.67 / $436.40	Facility		$112.80	$427.67	$436.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $124.81 / $128.56	Facility		$86.94	$124.81	$128.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $82.53 / $158.31	Professional		$65.20	$82.53	$158.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $87.28 / $126.07	Facility		$82.34	$87.28	$126.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.53 / $87.28 / $94.69	Professional		$82.53	$87.28	$94.69
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $85.28 / $117.83	Professional		$85.28	$85.28	$117.83