Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $44.98 / $95.74	Facility		$39.89	$44.98	$95.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $40.89 / $55.61	Professional		$39.89	$40.89	$55.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.88 / $45.07 / $45.08	Facility		$43.88	$45.07	$45.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,806.98 / $4,977.24 / $5,158.68	Facility		$1,806.98	$4,977.24	$5,158.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $47.21 / $67.73	Facility		$39.89	$47.21	$67.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $859.56 / $1,648.71	Professional		$37.40	$859.56	$1,648.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $45.08 / $67.73	Facility		$40.49	$45.08	$67.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $859.56 / $1,648.71	Professional		$37.40	$859.56	$1,648.71
United Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $57.08	Professional		$42.28	$42.28	$57.08