Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.14 / $108.00 / $396.00	Facility		$36.14	$108.00	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $42.57 / $59.18	Professional		$30.82	$42.57	$59.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $112.83 / $233.64	Facility		$47.21	$112.83	$233.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $21.08 / $21.08	Professional		$21.08	$21.08	$21.08
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 $33.63 / $49.18 / $88.37	Professional		$33.63	$49.18	$88.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $137.24 / $299.75 / $343.09	Facility		$137.24	$299.75	$343.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $423.78 / $552.98	Professional		$67.78	$423.78	$552.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $52.94 / $83.16	Facility		$36.79	$52.94	$83.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $61.62 / $61.62	Professional		$35.64	$61.62	$61.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $55.00 / $83.56	Facility		$38.86	$55.00	$83.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $49.18 / $89.68	Professional		$33.72	$49.18	$89.68
United Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $53.42 / $66.23	Professional		$41.68	$53.42	$66.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $43.14 / $80.00	Professional		$43.14	$43.14	$80.00