Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $55.50 / $129.94	Facility		$54.14	$55.50	$129.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $55.50 / $75.02	Professional		$54.14	$55.50	$75.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $293.95 / $293.95	Facility		$80.00	$293.95	$293.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $67.68 / $79.37	Facility		$55.50	$67.68	$79.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $50.76 / $50.76	Professional		$50.76	$50.76	$50.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $79.37	Facility		$57.53	$57.53	$79.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $76.14	Professional		$56.40	$56.40	$76.14