Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $475.88 / $596.79	Facility		$137.00	$475.88	$596.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $52.94	Professional		$1.00	$1.00	$52.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $27.00 / $33.00	Facility		$23.40	$27.00	$33.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.03 / $96.18	Professional		$50.00	$65.03	$96.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $132.00 / $132.00	Facility		$100.00	$132.00	$132.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $9,534.98 / $9,534.98	Professional		$3,335.23	$9,534.98	$9,534.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $1.00 / $1,063.00	Facility		$0.85	$1.00	$1,063.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $45.00 / $64.00	Professional		$6.00	$45.00	$64.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $45.00	Facility		$1.00	$1.00	$45.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.03 / $96.18	Professional		$50.00	$65.03	$96.18
United Facility/Professional Professional Modifier Low / Median / High Price $242.25 / $242.25 / $242.25	Professional		$242.25	$242.25	$242.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $80.00 / $80.00	Professional		$20.00	$80.00	$80.00