Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $63.21 / $80.98	Facility		$52.40	$63.21	$80.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.85 / $74.59 / $96.50	Professional		$61.85	$74.59	$96.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.58 / $71.73 / $248.25	Facility		$63.58	$71.73	$248.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $54.08 / $63.18	Professional		$47.91	$54.08	$63.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $85.21 / $133.81	Professional		$64.17	$85.21	$133.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $248.54 / $333.50 / $333.50	Facility		$248.54	$333.50	$333.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $434.29 / $512.39 / $637.13	Professional		$434.29	$512.39	$637.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.21 / $79.63 / $127.47	Facility		$63.21	$79.63	$127.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $95.21 / $124.89	Professional		$72.59	$95.21	$124.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $79.87 / $128.96	Facility		$63.72	$79.87	$128.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $86.44 / $135.18	Professional		$64.64	$86.44	$135.18
United Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $81.94 / $131.10	Professional		$63.52	$81.94	$131.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $73.98 / $80.00	Professional		$64.59	$73.98	$80.00