Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $136.40 / $252.67	Facility		$67.20	$136.40	$252.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $68.88 / $71.40	Professional		$67.20	$68.88	$71.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $161.05 / $338.14	Facility		$69.72	$161.05	$338.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $69.72 / $69.72	Professional		$69.72	$69.72	$69.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Facility		$71.40	$71.40	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $118.87 / $339.39 / $339.39	Facility		$118.87	$339.39	$339.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $429.65 / $429.65 / $523.28	Professional		$429.65	$429.65	$523.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $84.00 / $168.85	Facility		$69.72	$84.00	$168.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $56.55 / $56.55	Professional		$56.55	$56.55	$56.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $75.59 / $113.40	Facility		$69.72	$75.59	$113.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $80.84	Professional		$79.80	$79.80	$80.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $53.87 / $63.69	Professional		$39.90	$53.87	$63.69