Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.34 / $154.34 / $154.34	Professional		$154.34	$154.34	$154.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $42.23 / $42.23	Professional		$42.23	$42.23	$42.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $146.62 / $308.68 / $578.78	Facility		$146.62	$308.68	$578.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.62 / $128.62 / $128.62	Facility		$128.62	$128.62	$128.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $71.55	Professional		$53.00	$53.00	$71.55