Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.01 / $79.01 / $102.71	Facility		$79.01	$79.01	$102.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $79.01 / $97.38	Professional		$67.16	$79.01	$97.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $86.76 / $187.42	Facility		$30.74	$86.76	$187.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $66.37 / $66.37	Professional		$66.37	$66.37	$66.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Facility		$74.02	$74.02	$74.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $74.02 / $74.02	Professional		$38.00	$74.02	$74.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.02 / $296.29	Facility		$100.00	$158.02	$296.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $79.01 / $112.98	Facility		$17.91	$79.01	$112.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $15.90 / $15.90	Professional		$15.90	$15.90	$15.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $74.02 / $112.98	Facility		$33.99	$74.02	$112.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $74.02 / $74.02	Professional		$22.81	$74.02	$74.02
United Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $27.75 / $27.75	Facility		$20.52	$27.75	$27.75
United Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $77.98 / $79.01	Professional		$62.79	$77.98	$79.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $67.41 / $91.00	Professional		$67.41	$67.41	$91.00