Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.53 / $19.03 / $28.40	Facility	26	$14.53	$19.03	$28.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $189.61 / $266.74	Professional		$145.13	$189.61	$266.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $171.07 / $226.73	Professional		$18.64	$171.07	$226.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $192.84 / $325.36	Professional		$132.56	$192.84	$325.36
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $52.63 / $107.30 / $297.00	Facility	26	$52.63	$107.30	$297.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,009.00 / $9,009.00 / $9,009.00	Professional		$9,009.00	$9,009.00	$9,009.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $323.14 / $378.20	Professional		$204.43	$323.14	$378.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $199.97 / $427.82	Professional		$134.63	$199.97	$427.82
United Facility/Professional Professional Modifier Low / Median / High Price $147.24 / $173.39 / $262.33	Professional		$147.24	$173.39	$262.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $204.43 / $292.67	Professional		$183.86	$204.43	$292.67