Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.51 / $86.51 / $98.90	Facility		$86.51	$86.51	$98.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $86.51 / $98.60	Professional		$75.15	$86.51	$98.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $144.81 / $293.64	Facility		$57.00	$144.81	$293.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Professional		$80.51	$80.51	$80.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $81.52 / $164.84 / $300.14	Facility		$81.52	$164.84	$300.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $75.15 / $123.71	Facility		$24.44	$75.15	$123.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $70.92 / $75.15	Professional		$70.92	$70.92	$75.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $80.88 / $123.71	Facility		$32.92	$80.88	$123.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $80.88 / $81.52	Professional		$75.15	$80.88	$81.52
United Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $85.21 / $86.51	Professional		$68.59	$85.21	$86.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $68.17 / $101.45	Professional		$68.17	$68.17	$101.45