Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $79.98 / $114.98	Professional		$67.55	$79.98	$114.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $118.03 / $583.85	Facility		$59.47	$118.03	$583.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $84.95 / $114.34	Professional		$70.88	$84.95	$114.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $89.13 / $151.05	Professional		$71.53	$89.13	$151.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $383.01 / $414.44 / $414.44	Facility		$383.01	$414.44	$414.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $82.03 / $164.26	Facility		$70.62	$82.03	$164.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $102.30 / $124.13	Professional		$75.83	$102.30	$124.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.62 / $75.31 / $160.96	Facility		$70.62	$75.31	$160.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $81.09 / $135.44	Professional		$73.94	$81.09	$135.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.22 / $100.43 / $158.43	Professional		$79.22	$100.43	$158.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $84.75 / $101.79	Professional		$84.75	$84.75	$101.79