Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $77.70 / $93.24	Facility		$77.70	$77.70	$93.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $77.70 / $77.70	Professional		$73.81	$77.70	$77.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.79 / $339.94 / $670.59	Facility		$132.79	$339.94	$670.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $75.76 / $75.76	Professional		$75.76	$75.76	$75.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $198.00 / $291.38	Facility		$80.09	$198.00	$291.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $77.70 / $111.11	Facility		$73.81	$77.70	$111.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $69.69 / $73.81	Professional		$69.69	$69.69	$73.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $111.11	Facility		$72.52	$72.52	$111.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $73.81	Professional		$72.52	$72.52	$73.81
United Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $83.42 / $87.11	Professional		$70.13	$83.42	$87.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $66.43 / $99.66	Professional		$66.43	$66.43	$99.66