Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $79.43	Facility		$61.66	$67.61	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $107.15	Professional		$63.10	$77.62	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $63.10	Professional		$54.95	$54.95	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $141.25	Professional		$66.07	$87.10	$141.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $630.96	Professional		$512.86	$630.96	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $134.90	Facility		$61.66	$81.28	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $141.25	Professional		$63.10	$81.28	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $138.04	Facility		$61.66	$81.28	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $134.90	Professional		$64.57	$87.10	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $64.57	Facility		$46.77	$46.77	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $125.89	Professional		$58.88	$77.62	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $81.28	Professional		$64.57	$77.62	$81.28