Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $36.68 / $39.53	Professional		$27.98	$36.68	$39.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $196.49 / $203.63 / $203.63	Facility		$196.49	$203.63	$203.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $27.98 / $39.53	Facility		$27.98	$27.98	$39.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $27.98 / $39.53	Facility		$27.98	$27.98	$39.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
United Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $33.97 / $61.87	Professional		$30.05	$33.97	$61.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $25.57 / $25.57	Professional		$25.57	$25.57	$25.57