Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $84.57 / $180.00	Facility		$75.00	$84.57	$180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $76.88 / $104.56	Professional		$75.00	$76.88	$104.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141.37 / $389.38 / $403.61	Facility		$141.37	$389.38	$403.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $96.17 / $109.94	Facility		$75.00	$96.17	$109.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $70.31 / $128.99	Professional		$67.25	$70.31	$128.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $109.94	Facility		$79.50	$79.50	$109.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $79.50 / $79.50	Professional		$70.31	$79.50	$79.50
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $90.69	Professional		$90.69	$90.69	$90.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $107.33	Professional		$79.50	$79.50	$107.33