Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.31 / $30.31 / $46.01	Facility	26	$23.31	$30.31	$46.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.90 / $150.29 / $279.43	Professional		$116.90	$150.29	$279.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $82.10 / $188.69	Professional		$29.79	$82.10	$188.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $193.18 / $354.56	Professional		$134.19	$193.18	$354.56
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $175.75 / $175.75	Facility	26	$100.00	$175.75	$175.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.97 / $1,153.97 / $1,437.53	Professional		$1,153.97	$1,153.97	$1,437.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.87 / $273.26 / $407.35	Professional		$157.87	$273.26	$407.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $203.78 / $355.91	Professional		$145.18	$203.78	$355.91
United Facility/Professional Professional Modifier Low / Median / High Price $152.99 / $189.90 / $281.95	Professional		$152.99	$189.90	$281.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.34 / $157.87 / $224.88	Professional		$141.34	$157.87	$224.88