Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $35.81 / $42.97	Facility		$35.81	$35.81	$42.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $35.81 / $35.81	Professional		$30.44	$35.81	$35.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.11 / $74.11 / $146.19	Facility		$30.11	$74.11	$146.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Professional		$28.97	$28.97	$28.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Facility		$33.42	$33.42	$33.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $33.42 / $33.42	Professional		$9.00	$33.42	$33.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $757.05 / $757.05	Facility		$56.37	$757.05	$757.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $35.81 / $51.21	Facility		$19.32	$35.81	$51.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $41.88 / $41.88	Professional		$41.88	$41.88	$41.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $33.42 / $51.21	Facility		$29.99	$33.42	$51.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $41.88	Professional		$33.42	$33.42	$41.88
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $36.27 / $36.27	Professional		$29.20	$36.27	$36.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $40.28	Professional		$29.84	$29.84	$40.28