Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $75.81 / $119.31	Facility		$74.73	$75.81	$119.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $76.92 / $112.11	Professional		$73.06	$76.92	$112.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.28 / $655.79 / $1,350.25	Facility		$380.28	$655.79	$1,350.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $86.81 / $127.56	Professional		$63.98	$86.81	$127.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $108.13 / $163.72	Professional		$82.72	$108.13	$163.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,300.00	Facility		$55.00	$55.00	$1,300.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $660.00 / $660.00 / $660.00	Professional		$660.00	$660.00	$660.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $97.75 / $183.36	Facility		$75.81	$97.75	$183.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $116.30 / $136.82	Professional		$83.61	$116.30	$136.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.81 / $98.56 / $187.68	Facility		$75.81	$98.56	$187.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $109.22 / $180.57	Professional		$82.85	$109.22	$180.57
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 $66.12 / $91.15 / $140.51	Professional		$66.12	$91.15	$140.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $74.56 / $102.71	Professional		$64.87	$74.56	$102.71