Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $106.25 / $149.26	Facility		$69.09	$106.25	$149.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $70.83 / $73.42	Professional		$69.09	$70.83	$73.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Facility		$73.42	$73.42	$73.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $82.06 / $288.61 / $294.50	Facility		$82.06	$288.61	$294.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $70.83 / $101.29	Facility		$55.62	$70.83	$101.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $64.79 / $100.85	Professional		$52.58	$64.79	$100.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $73.42 / $101.29	Facility		$55.62	$73.42	$101.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $73.42 / $100.67	Professional		$64.79	$73.42	$100.67
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $71.98	Professional		$71.98	$71.98	$71.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $55.62 / $75.09	Professional		$55.62	$55.62	$75.09