Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.51 / $57.50 / $109.81	Facility		$48.51	$57.50	$109.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $50.84 / $67.81	Professional		$48.51	$50.84	$67.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Professional		$49.22	$49.22	$49.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $316.83 / $328.37	Facility		$115.02	$316.83	$328.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $48.51 / $74.75	Facility		$45.57	$48.51	$74.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.98 / $45.57 / $104.96	Professional		$43.98	$45.57	$104.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.57 / $49.22 / $69.37	Facility		$45.57	$49.22	$69.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $49.22 / $54.72	Professional		$45.57	$49.22	$54.72
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $16.22	Professional		$6.49	$16.22	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $77.37	Professional		$57.31	$57.31	$77.37