Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $68.56 / $108.61	Facility		$67.56	$68.56	$108.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $69.54 / $104.42	Professional		$64.72	$69.54	$104.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $84.51 / $132.32	Professional		$66.58	$84.51	$132.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $98.26 / $148.63	Professional		$75.64	$98.26	$148.63
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 $69.18 / $90.34 / $165.02	Facility		$69.18	$90.34	$165.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $105.91 / $124.60	Professional		$76.14	$105.91	$124.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $90.61 / $168.91	Facility		$69.18	$90.61	$168.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $99.41 / $163.27	Professional		$75.64	$99.41	$163.27
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 $60.06 / $82.58 / $127.62	Professional		$60.06	$82.58	$127.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $67.88 / $93.45	Professional		$59.08	$67.88	$93.45