Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $66.92 / $260.31	Facility		$51.48	$66.92	$260.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $51.48 / $62.21	Professional		$42.90	$51.48	$62.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $95.43 / $198.98	Facility		$41.89	$95.43	$198.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $41.89 / $41.89	Professional		$41.89	$41.89	$41.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $216.50 / $262.33	Facility		$96.07	$216.50	$262.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $55.33 / $76.68	Facility		$50.47	$55.33	$76.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $43.71 / $43.71	Professional		$43.71	$43.71	$43.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $76.08	Facility		$47.11	$47.11	$76.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $62.60	Professional		$47.11	$47.11	$62.60
United Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $59.55 / $59.55	Professional		$47.95	$59.55	$59.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $67.50	Professional		$50.00	$50.00	$67.50