Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.74 / $293.98 / $625.78	Facility		$260.74	$293.98	$625.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.74 / $267.25 / $361.31	Professional		$260.74	$267.25	$361.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Facility		$277.02	$277.02	$277.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.62 / $1,371.66 / $1,399.65	Facility		$309.62	$1,371.66	$1,399.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $267.25 / $325.92 / $382.17	Facility		$267.25	$325.92	$382.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $244.44 / $244.44 / $244.44	Professional		$244.44	$244.44	$244.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $267.25 / $277.02 / $382.17	Facility		$267.25	$277.02	$382.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $271.60	Professional		$271.60	$271.60	$271.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.70 / $263.70 / $356.00	Professional		$263.70	$263.70	$356.00