Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,244.00 / $7,513.00	Facility		$521.00	$2,244.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $77.06 / $213.89	Professional		$27.84	$77.06	$213.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.91 / $90.22 / $196.39	Facility		$53.91	$90.22	$196.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.67 / $306.67 / $306.67	Professional		$306.67	$306.67	$306.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $166.51 / $190.52	Facility		$45.84	$166.51	$190.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $286.30 / $286.30 / $286.30	Professional		$286.30	$286.30	$286.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $73.36 / $143.01	Facility		$22.51	$73.36	$143.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $20.54 / $20.54	Professional		$20.54	$20.54	$20.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $73.06 / $136.04	Facility		$22.51	$73.06	$136.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $20.54 / $162.16	Professional		$15.51	$20.54	$162.16
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $950.00 / $2,376.00	Facility		$157.00	$950.00	$2,376.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $29.07 / $46.31	Professional		$21.80	$29.07	$46.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $29.23 / $31.06	Professional		$21.74	$29.23	$31.06