Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $143.00 / $668.57	Facility		$82.18	$143.00	$668.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $107.60 / $149.59	Professional		$77.69	$107.60	$149.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $223.94 / $464.00	Facility		$93.70	$223.94	$464.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $68.77 / $68.77	Professional		$58.45	$68.77	$68.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $123.35 / $221.59	Professional		$84.19	$123.35	$221.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $345.81 / $755.40 / $864.36	Facility		$345.81	$755.40	$864.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $170.83 / $1,071.54 / $1,393.95	Professional		$170.83	$1,071.54	$1,393.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.29 / $132.56 / $209.56	Facility		$92.29	$132.56	$209.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.51 / $155.30 / $155.30	Professional		$89.51	$155.30	$155.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $128.13 / $209.56	Facility		$79.43	$128.13	$209.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.30 / $123.35 / $224.44	Professional		$85.30	$123.35	$224.44
United Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $134.84 / $165.25	Professional		$104.69	$134.84	$165.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $108.43 / $108.43	Professional		$80.00	$108.43	$108.43