Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $38.02 / $175.54	Facility		$29.19	$38.02	$175.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $30.29 / $39.79	Professional		$27.34	$30.29	$39.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $104.87 / $191.00	Facility		$44.69	$104.87	$191.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $21.85 / $35.25	Professional		$21.85	$21.85	$35.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.46 / $40.09 / $59.56	Professional		$29.46	$40.09	$59.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $170.86 / $486.98	Facility		$157.44	$170.86	$486.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $589.67 / $589.67 / $589.67	Professional		$589.67	$589.67	$589.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $33.78 / $48.66	Facility		$28.47	$33.78	$48.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $39.46 / $55.51	Professional		$28.72	$39.46	$55.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $33.76 / $46.64	Facility		$28.47	$33.76	$46.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $40.59 / $62.14	Professional		$30.28	$40.59	$62.14
United Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $38.25 / $54.60	Professional		$28.59	$38.25	$54.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $33.06 / $45.63	Professional		$28.71	$33.06	$45.63