Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.24 / $89.24 / $105.12	Facility		$89.24	$89.24	$105.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $89.24 / $89.24	Professional		$75.84	$89.24	$89.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $34.79 / $68.63	Facility		$13.59	$34.79	$68.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Facility		$83.29	$83.29	$83.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $175.12 / $238.24	Facility		$83.18	$175.12	$238.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.60 / $89.24 / $127.61	Facility		$87.60	$89.24	$127.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $83.29 / $127.61	Facility		$70.88	$83.29	$127.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
United Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $87.76 / $94.35	Professional		$70.65	$87.76	$94.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $71.47	Professional		$52.94	$52.94	$71.47