Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $50.49 / $210.00	Facility		$50.49	$50.49	$210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $50.49 / $55.53	Professional		$50.49	$50.49	$55.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $101.75 / $192.56	Facility		$41.92	$101.75	$192.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $40.29 / $70.56	Facility		$28.43	$40.29	$70.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $80.00 / $80.00	Facility		$70.00	$80.00	$80.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.49 / $72.20 / $121.77	Facility		$50.49	$72.20	$121.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $50.49 / $78.42	Facility		$29.04	$50.49	$78.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00