Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $146.58 / $312.00	Facility		$130.00	$146.58	$312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $133.25 / $181.22	Professional		$130.00	$133.25	$181.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $211.41 / $582.30 / $603.58	Facility		$211.41	$582.30	$603.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $137.80 / $190.55	Facility		$132.91	$137.80	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $121.88 / $192.89	Professional		$100.57	$121.88	$192.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.59 / $137.80 / $190.55	Facility		$135.59	$137.80	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $137.80 / $159.66	Professional		$121.88	$137.80	$159.66
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $186.03	Professional		$137.80	$137.80	$186.03