Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $262.50 / $1,829.27	Professional		$1.00	$262.50	$1,829.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $430.63 / $430.63 / $430.63	Professional		$430.63	$430.63	$430.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.57 / $228.57 / $228.57	Facility		$228.57	$228.57	$228.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $99.89 / $228.57	Professional		$99.89	$99.89	$228.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $382.70	Facility		$65.00	$100.00	$382.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $108.73 / $318.75	Professional		$77.48	$108.73	$318.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.57 / $228.57 / $228.57	Facility		$228.57	$228.57	$228.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $99.89 / $228.57	Professional		$99.89	$99.89	$228.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00