Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $52.21 / $53.19	Facility		$49.52	$52.21	$53.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $52.21 / $60.16	Professional		$33.61	$52.21	$60.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $15.79 / $27.37	Professional		$15.79	$15.79	$27.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $37.19 / $43.04	Facility		$33.01	$37.19	$43.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $136.34 / $230.18 / $242.33	Facility		$136.34	$230.18	$242.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $320.63 / $320.63 / $426.56	Professional		$320.63	$320.63	$426.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $56.98 / $104.98	Facility		$49.52	$56.98	$104.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $51.50 / $51.50	Professional		$51.50	$51.50	$51.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $55.77 / $104.98	Facility		$40.36	$55.77	$104.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $89.58 / $105.39	Professional		$56.24	$89.58	$105.39
United Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $56.76 / $90.00	Professional		$40.85	$56.76	$90.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $51.50 / $72.95	Professional		$47.29	$51.50	$72.95