Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $96.72 / $96.72	Facility		$96.72	$96.72	$96.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $96.72 / $97.69	Professional		$96.72	$96.72	$97.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $51.30 / $51.30	Professional		$51.30	$51.30	$51.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $213.75	Facility		$100.00	$100.00	$213.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $185.89 / $185.89	Professional		$185.89	$185.89	$185.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $138.31 / $274.52	Facility		$96.72	$138.31	$274.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.72 / $138.31 / $274.52	Facility		$96.72	$138.31	$274.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $160.06 / $216.08	Professional		$100.00	$160.06	$216.08