Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $81.43 / $167.53	Facility		$49.94	$81.43	$167.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $81.43 / $100.36	Professional		$69.22	$81.43	$100.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $43.56 / $84.10	Facility		$16.82	$43.56	$84.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $73.70 / $73.70	Professional		$73.70	$73.70	$73.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Facility		$76.14	$76.14	$76.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $162.86 / $305.36	Facility		$87.99	$162.86	$305.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $81.43 / $116.44	Facility		$77.36	$81.43	$116.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $116.44	Facility		$76.14	$76.14	$116.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
United Facility/Professional Facility Modifier Low / Median / High Price $71.38 / $71.38 / $71.38	Facility		$71.38	$71.38	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $91.28 / $91.28	Professional		$73.48	$91.28	$91.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $69.62 / $104.44	Professional		$69.62	$69.62	$104.44