Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $28.64 / $39.92	Facility		$18.16	$28.64	$39.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.34 / $25.13	Professional		$18.16	$18.34	$25.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $18.16 / $18.16	Facility		$17.13	$18.16	$18.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $90.80 / $100.00	Facility		$75.00	$90.80	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $25.97 / $26.74	Facility		$18.29	$25.97	$26.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $18.16 / $32.83	Professional		$13.72	$18.16	$32.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $18.16 / $26.23	Facility		$17.13	$18.16	$26.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $18.16 / $31.08	Professional		$17.12	$18.16	$31.08
United Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Facility		$18.14	$18.14	$18.14
United Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $17.17 / $24.52	Professional		$17.17	$17.17	$24.52