Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.40 / $3.84 / $8.16	Facility		$3.40	$3.84	$8.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.49 / $4.87	Professional		$3.40	$3.49	$4.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Facility		$3.75	$3.75	$3.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $108.45 / $108.45	Facility		$7.71	$108.45	$108.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $4.58 / $4.99	Facility		$3.49	$4.58	$4.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.67 / $7.04	Professional		$3.19	$3.67	$7.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $3.75 / $4.99	Facility		$3.75	$3.75	$4.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $3.75 / $5.82	Professional		$3.67	$3.75	$5.82
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $3.75	Professional		$3.75	$3.75	$3.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $3.75 / $5.05	Professional		$3.75	$3.75	$5.05