Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.73 / $19.10 / $29.23	Facility	26	$14.73	$19.10	$29.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $156.52 / $307.17	Professional		$121.97	$156.52	$307.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $140.94 / $199.43	Professional		$24.19	$140.94	$199.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $197.13 / $370.85	Professional		$142.69	$197.13	$370.85
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $71.17 / $122.00 / $122.00	Facility	26	$71.17	$122.00	$122.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.75 / $1,203.75 / $1,519.80	Professional		$1,203.75	$1,203.75	$1,519.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.61 / $299.75 / $424.12	Professional		$165.61	$299.75	$424.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $203.01 / $377.85	Professional		$149.19	$203.01	$377.85
United Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $197.42 / $302.61	Professional		$146.88	$197.42	$302.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $165.61 / $236.76	Professional		$148.80	$165.61	$236.76