Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $72.92 / $155.21	Facility		$64.67	$72.92	$155.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.67 / $66.29 / $92.76	Professional		$64.67	$66.29	$92.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $76.13 / $76.13	Facility		$74.09	$76.13	$76.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $155.58	Facility		$100.00	$100.00	$155.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $92.44 / $98.72	Facility		$64.67	$92.44	$98.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $60.63 / $60.63	Professional		$60.63	$60.63	$60.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $76.13 / $109.82	Facility		$64.67	$76.13	$109.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $60.63 / $60.63	Professional		$60.63	$60.63	$60.63
United Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $80.84 / $80.84	Professional		$80.84	$80.84	$80.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $71.41 / $96.40	Professional		$71.41	$71.41	$96.40