Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.90 / $135.36	Facility		$36.00	$36.90	$135.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.90 / $38.25	Professional		$36.00	$36.90	$38.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $87.15 / $176.04	Facility		$34.86	$87.15	$176.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $168.75	Facility		$85.00	$100.00	$168.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $205.45	Professional		$171.00	$171.00	$205.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $45.00 / $90.46	Facility		$37.35	$45.00	$90.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $33.25 / $36.68	Professional		$33.25	$33.25	$36.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.18 / $45.00 / $78.23	Facility		$38.18	$45.00	$78.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $640.40 / $864.54	Professional		$37.50	$640.40	$864.54