Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.00 / $2,172.00 / $7,513.00	Facility		$488.00	$2,172.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $23.00 / $47.61	Professional		$21.05	$23.00	$47.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.14 / $103.14 / $103.14	Professional		$103.14	$103.14	$103.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.61 / $187.61 / $187.61	Facility		$187.61	$187.61	$187.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.67 / $46.12 / $75.76	Professional		$32.67	$46.12	$75.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $741.35	Facility		$55.00	$55.00	$741.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $409.44 / $467.10	Professional		$333.00	$409.44	$467.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $44.24 / $69.15	Facility		$22.94	$44.24	$69.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $54.23	Professional		$33.32	$33.32	$54.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $44.30 / $71.53	Facility		$22.94	$44.30	$71.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $54.61 / $82.59	Professional		$36.35	$54.61	$82.59
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 $18.48 / $25.68 / $42.11	Professional		$18.48	$25.68	$42.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $53.19 / $74.59	Professional		$19.82	$53.19	$74.59