Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $29.34 / $62.45	Facility		$26.02	$29.34	$62.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $26.67 / $36.06	Professional		$26.02	$26.67	$36.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Facility		$27.64	$27.64	$27.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $120.45 / $120.45	Facility		$75.00	$120.45	$120.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $32.52 / $38.14	Facility		$26.02	$32.52	$38.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.39 / $37.53	Professional		$19.55	$24.39	$37.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $27.64 / $38.14	Facility		$25.82	$27.64	$38.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $27.64 / $31.06	Professional		$24.39	$27.64	$31.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Professional		$27.10	$27.10	$27.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $36.59	Professional		$27.10	$27.10	$36.59