Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $81.28	Professional		$53.70	$64.57	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $134.90	Facility		$104.71	$104.71	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $125.89	Professional		$58.88	$77.62	$125.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $562.34	Professional		$512.86	$562.34	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $125.89	Facility		$51.29	$74.13	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $79.43	Professional		$52.48	$63.10	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $69.18	Professional		$44.67	$57.54	$69.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $79.43 / $125.89	Facility		$60.26	$79.43	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $120.23	Professional		$56.23	$75.86	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $100.00	Professional		$47.86	$63.10	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $77.62 / $95.50	Professional		$15.14	$77.62	$95.50