Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $27.79 / $45.74	Professional		$17.70	$27.79	$45.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $25.98 / $25.98	Facility		$15.44	$25.98	$25.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $31.59 / $53.65	Professional		$18.47	$31.59	$53.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $37.46 / $66.13	Professional		$21.61	$37.46	$66.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $111.44 / $111.44	Facility		$102.96	$111.44	$111.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $247.97 / $328.65	Professional		$148.76	$247.97	$328.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $36.04 / $62.06	Facility		$20.55	$36.04	$62.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $42.34 / $61.58	Professional		$25.30	$42.34	$61.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $35.64 / $62.06	Facility		$20.55	$35.64	$62.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $38.09 / $68.56	Professional		$22.04	$38.09	$68.56
United Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $37.74 / $54.25	Professional		$30.81	$37.74	$54.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $37.20 / $52.25	Professional		$32.85	$37.20	$52.25