Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.55 / $31.49	Facility		$30.23	$30.55	$31.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $31.18 / $34.01	Professional		$22.99	$31.18	$34.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $25.19 / $25.19	Professional		$25.19	$25.19	$25.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $168.29 / $170.81	Facility		$73.00	$168.29	$170.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $35.96 / $45.03	Facility		$22.08	$35.96	$45.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $18.03 / $35.96	Professional		$14.28	$18.03	$35.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $35.96 / $45.03	Facility		$20.88	$35.96	$45.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $16.14 / $32.71	Professional		$14.28	$16.14	$32.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.33 / $27.63 / $40.52	Professional		$21.33	$27.63	$40.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $35.96 / $48.55	Professional		$35.96	$35.96	$48.55