Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $83.19 / $127.55	Facility		$69.84	$83.19	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $79.98 / $105.21	Professional		$67.55	$79.98	$105.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $84.73 / $101.60	Professional		$69.73	$84.73	$101.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $96.80 / $96.80	Facility		$96.80	$96.80	$96.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $104.50 / $164.76	Professional		$75.84	$104.50	$164.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $383.01 / $414.44 / $414.44	Facility		$383.01	$414.44	$414.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $534.72 / $636.69 / $636.69	Professional		$534.72	$636.69	$636.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $90.51 / $134.53	Facility		$69.41	$90.51	$134.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $124.13 / $159.59	Professional		$80.37	$124.13	$159.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.33 / $89.93 / $134.41	Facility		$69.33	$89.93	$134.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $107.74 / $170.14	Professional		$79.17	$107.74	$170.14
United Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $107.80 / $154.90	Professional		$80.12	$107.80	$154.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $96.88 / $134.62	Professional		$84.75	$96.88	$134.62