Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.14 / $135.47 / $288.33	Facility		$120.14	$135.47	$288.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.14 / $123.15 / $166.48	Professional		$120.14	$123.15	$166.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $663.30 / $663.30	Facility		$150.18	$663.30	$663.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $123.15 / $176.10	Facility		$58.54	$123.15	$176.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $107.30 / $112.64	Professional		$55.94	$107.30	$112.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $176.10	Facility		$63.43	$63.43	$176.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $107.30	Professional		$63.43	$63.43	$107.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Professional		$125.15	$125.15	$125.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $85.63	Professional		$63.43	$63.43	$85.63