Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $39.49 / $4,749.00	Facility		$38.72	$39.49	$4,749.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $39.89 / $59.06	Professional		$37.10	$39.89	$59.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.07 / $648.03 / $1,447.39	Facility		$375.07	$648.03	$1,447.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $46.75 / $65.14	Professional		$36.94	$46.75	$65.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $56.76 / $87.58	Professional		$42.46	$56.76	$87.58
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 $887.00 / $1,017.00 / $1,017.00	Professional		$887.00	$1,017.00	$1,017.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $56.61 / $93.98	Facility		$38.90	$56.61	$93.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $59.39 / $69.88	Professional		$42.70	$59.39	$69.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $57.61 / $103.60	Facility		$39.10	$57.61	$103.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.81 / $92.52	Professional		$42.66	$57.81	$92.52
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 $33.47 / $46.44 / $73.63	Professional		$33.47	$46.44	$73.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $38.10 / $52.52	Professional		$33.13	$38.10	$52.52