Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $477.08 / $1,015.54	Facility		$423.14	$477.08	$1,015.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $433.71 / $586.35	Professional		$423.14	$433.71	$586.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Facility		$426.92	$426.92	$426.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $426.92	Professional		$426.92	$426.92	$426.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $528.91 / $1,309.81 / $1,357.55	Facility		$528.91	$1,309.81	$1,357.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $244.79 / $426.92 / $620.21	Facility		$244.79	$426.92	$620.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $226.20 / $396.69 / $433.87	Professional		$226.20	$396.69	$433.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.70 / $426.92 / $620.21	Facility		$277.70	$426.92	$620.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.12 / $426.92 / $426.92	Professional		$359.12	$426.92	$426.92
United Facility/Professional Professional Modifier Low / Median / High Price $528.91 / $588.79 / $588.79	Professional		$528.91	$588.79	$588.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.92 / $426.92 / $576.34	Professional		$426.92	$426.92	$576.34