Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $79.77 / $98.12	Professional		$49.55	$79.77	$98.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Professional		$324.30	$324.30	$324.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $200.35 / $225.09 / $284.61	Facility		$200.35	$225.09	$284.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $453.33 / $453.33 / $453.33	Professional		$453.33	$453.33	$453.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.81 / $109.27 / $340.47	Facility		$85.81	$109.27	$340.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $109.20 / $340.47	Facility		$84.97	$109.20	$340.47
United Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $96.20 / $148.21	Professional		$72.40	$96.20	$148.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $67.93 / $95.10	Professional		$67.93	$67.93	$95.10