Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $868.01 / $1,110.47	Facility		$508.76	$868.01	$1,110.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $513.85 / $707.48	Professional		$508.76	$513.85	$707.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.96 / $508.76 / $508.76	Facility		$479.96	$508.76	$508.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $644.98 / $2,423.75 / $2,423.75	Facility		$644.98	$2,423.75	$2,423.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.86 / $513.85 / $749.35	Facility		$336.86	$513.85	$749.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $379.13 / $508.76 / $922.27	Professional		$379.13	$508.76	$922.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.71 / $508.76 / $734.81	Facility		$415.71	$508.76	$734.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.83 / $508.76 / $877.71	Professional		$480.83	$508.76	$877.71
United Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $484.92 / $484.92 / $686.83	Professional		$484.92	$484.92	$686.83