Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $80.64 / $171.65	Facility		$71.52	$80.64	$171.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $73.31 / $99.11	Professional		$71.52	$73.31	$99.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $384.55 / $384.55	Facility		$89.40	$384.55	$384.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $89.40 / $104.83	Facility		$73.31	$89.40	$104.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $67.05 / $67.05	Professional		$67.05	$67.05	$67.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $104.83	Facility		$75.98	$75.98	$104.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $100.58	Professional		$74.50	$74.50	$100.58