Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $140.72 / $249.31	Facility		$140.72	$140.72	$249.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $140.72 / $157.76	Professional		$119.61	$140.72	$157.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $105.57 / $210.64	Facility		$37.54	$105.57	$210.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $124.80	Professional		$124.80	$124.80	$124.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Facility		$131.35	$131.35	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $131.35 / $131.35	Professional		$48.00	$131.35	$131.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $256.00 / $480.00	Facility		$121.60	$256.00	$480.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $128.00 / $201.23	Facility		$33.32	$128.00	$201.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $29.96 / $29.96	Professional		$29.96	$29.96	$29.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.80 / $131.35 / $201.23	Facility		$41.80	$131.35	$201.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $131.35 / $131.35	Professional		$43.19	$131.35	$131.35
United Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $138.38 / $140.74	Professional		$111.42	$138.38	$140.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $60.95 / $106.67	Professional		$45.15	$60.95	$106.67