Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $63.10 / $186.21	Facility		$23.99	$63.10	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $33.88	Professional		$18.20	$22.91	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $389.05 / $741.31	Facility		$144.54	$389.05	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $48.98 / $134.90	Facility		$16.60	$48.98	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.38 / $37.15	Professional		$10.47	$17.38	$37.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.18 / $61.66	Facility		$19.50	$28.18	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $34.67	Professional		$18.20	$22.91	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $30.20	Professional		$13.18	$13.18	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.84 / $56.23	Facility		$19.05	$28.84	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.38 / $40.74	Professional		$10.47	$17.38	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $269.15 / $354.81	Facility		$138.04	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $20.42	Professional		$9.12	$14.13	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.79 / $18.62	Professional		$13.80	$14.79	$18.62