Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $61.66 / $181.97	Facility		$22.91	$61.66	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $32.36	Professional		$18.20	$22.39	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $389.05 / $741.31	Facility		$128.82	$389.05	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $50.12 / $138.04	Facility		$15.49	$50.12	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $33.88	Professional		$9.12	$12.59	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.88 / $107.15	Facility		$15.14	$21.88	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $53.70	Professional		$18.20	$22.91	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.22 / $11.22	Professional		$7.24	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $91.20	Facility		$15.14	$22.39	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $31.62	Professional		$10.00	$12.59	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.98 / $354.81	Facility		$10.00	$16.98	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $19.50	Professional		$8.91	$12.88	$19.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79