Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.39 / $78.69 / $97.58	Facility		$65.39	$78.69	$97.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $87.58 / $115.35	Professional		$74.52	$87.58	$115.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.58 / $98.06 / $292.69	Facility		$63.58	$98.06	$292.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $68.00 / $72.55	Professional		$57.80	$68.00	$72.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $99.56 / $153.57	Professional		$78.91	$99.56	$153.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $286.64 / $419.47 / $419.47	Facility		$286.64	$419.47	$419.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $541.15 / $580.23 / $740.78	Professional		$541.15	$580.23	$740.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.88 / $92.69 / $148.28	Facility		$76.88	$92.69	$148.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $114.37 / $145.16	Professional		$81.31	$114.37	$145.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $93.08 / $153.66	Facility		$77.59	$93.08	$153.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $101.24 / $158.06	Professional		$80.51	$101.24	$158.06
United Facility/Professional Professional Modifier Low / Median / High Price $71.63 / $92.29 / $146.85	Professional		$71.63	$92.29	$146.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $86.21 / $90.45	Professional		$75.09	$86.21	$90.45