Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $45.75 / $71.58	Facility		$44.90	$45.75	$71.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $46.25 / $68.81	Professional		$42.94	$46.25	$68.81
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 $38.11 / $51.07 / $75.98	Professional		$38.11	$51.07	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $65.86 / $101.53	Professional		$49.76	$65.86	$101.53
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 $45.63 / $66.04 / $111.62	Facility		$45.63	$66.04	$111.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $69.78 / $82.10	Professional		$50.17	$69.78	$82.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $66.80 / $126.18	Facility		$45.75	$66.80	$126.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $67.12 / $108.15	Professional		$49.76	$67.12	$108.15
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 $40.13 / $55.18 / $85.27	Professional		$40.13	$55.18	$85.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $44.74 / $61.60	Professional		$38.93	$44.74	$61.60