Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $55.81 / $83.58	Facility		$44.73	$55.81	$83.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $53.98 / $73.78	Professional		$43.28	$53.98	$73.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $157.41 / $288.25	Facility		$66.31	$157.41	$288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $54.37 / $70.37	Professional		$42.64	$54.37	$70.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $64.37 / $64.37	Facility		$64.37	$64.37	$64.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $69.27 / $109.82	Professional		$48.62	$69.27	$109.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $261.35 / $261.35	Facility		$240.69	$261.35	$261.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $343.02 / $427.68 / $427.68	Professional		$343.02	$427.68	$427.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $59.15 / $89.84	Facility		$44.40	$59.15	$89.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $78.69 / $105.58	Professional		$50.54	$78.69	$105.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $58.63 / $89.64	Facility		$44.40	$58.63	$89.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $70.29 / $113.23	Professional		$50.54	$70.29	$113.23
United Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $71.45 / $103.32	Professional		$53.60	$71.45	$103.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $64.29 / $89.56	Professional		$56.32	$64.29	$89.56