Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $891.25	Facility		$269.15	$446.68	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $323.59	Professional		$257.04	$269.15	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $371.54 / $630.96	Facility		$269.15	$371.54	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $275.42	Professional		$257.04	$269.15	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $380.19 / $912.01	Facility		$288.40	$380.19	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $281.84	Professional		$269.15	$281.84	$281.84