Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $83.18	Facility		$43.65	$54.95	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $74.13	Professional		$42.66	$53.70	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $66.07	Professional		$39.81	$51.29	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $109.65	Professional		$51.29	$70.79	$109.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $89.13	Facility		$43.65	$58.88	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $81.28	Professional		$42.66	$54.95	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $87.10	Facility		$43.65	$57.54	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $109.65	Professional		$51.29	$70.79	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $66.07 / $95.50	Professional		$47.86	$66.07	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $85.11	Professional		$43.65	$69.18	$85.11