Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $741.31	Facility		$91.20	$154.88	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $154.88	Professional		$77.62	$112.20	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $234.42 / $457.09	Facility		$93.33	$234.42	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Facility		$54.95	$64.57	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $218.78	Professional		$85.11	$123.03	$218.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,071.52 / $1,071.52	Facility		$154.88	$1,071.52	$1,071.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $1,380.38	Professional		$147.91	$194.98	$1,380.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $234.42	Facility		$91.20	$138.04	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $154.88	Professional		$75.86	$112.20	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $128.82 / $218.78	Facility		$79.43	$128.82	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $223.87	Professional		$85.11	$123.03	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $165.96	Professional		$104.71	$134.90	$165.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $109.65 / $109.65	Professional		$10.47	$109.65	$109.65