Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $162.18	Facility		$69.18	$102.33	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $83.18	Professional		$67.61	$69.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $162.18	Facility		$69.18	$97.72	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $70.79	Professional		$67.61	$69.18	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $85.11 / $190.55	Facility		$43.65	$85.11	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79