Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.97 / $16.84 / $25.81	Facility	26	$12.97	$16.84	$25.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.45 / $152.02 / $299.43	Professional		$118.45	$152.02	$299.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $132.22 / $190.71	Professional		$17.63	$132.22	$190.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.72 / $190.04 / $353.72	Professional		$133.72	$190.04	$353.72
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $61.36 / $100.00 / $100.00	Facility	26	$61.36	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.18 / $1,169.18 / $1,481.40	Professional		$1,169.18	$1,169.18	$1,481.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $291.83 / $411.93	Professional		$161.24	$291.83	$411.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $192.43 / $360.45	Professional		$140.06	$192.43	$360.45
United Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $188.57 / $293.77	Professional		$132.06	$188.57	$293.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $161.24 / $230.59	Professional		$144.94	$161.24	$230.59