Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $246.00 / $576.00	Facility		$240.00	$246.00	$576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $246.00 / $255.00	Professional		$240.00	$246.00	$255.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Professional		$255.00	$255.00	$255.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,244.94 / $1,270.34	Facility		$300.00	$1,244.94	$1,270.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $217.30 / $255.00	Facility		$51.68	$217.30	$255.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $252.07 / $300.00	Professional		$106.79	$252.07	$300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $249.00 / $255.00	Facility		$56.86	$249.00	$255.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $255.00 / $270.00	Professional		$225.00	$255.00	$270.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $250.00 / $250.00	Professional		$162.50	$250.00	$250.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.50	Professional		$250.00	$250.00	$250.50