Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $30.06 / $30.99	Facility		$29.75	$30.06	$30.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $30.68 / $33.47	Professional		$22.62	$30.68	$33.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $24.79 / $24.79	Professional		$24.79	$24.79	$24.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Professional		$29.14	$29.14	$29.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $165.67 / $168.15	Facility		$71.86	$165.67	$168.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $30.68 / $42.99	Facility		$21.66	$30.68	$42.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $17.69 / $35.40	Professional		$14.06	$17.69	$35.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $30.99 / $43.87	Facility		$20.55	$30.99	$43.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $29.14 / $32.40	Professional		$14.06	$29.14	$32.40
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $26.49 / $35.90	Professional		$20.74	$26.49	$35.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $47.79	Professional		$35.40	$35.40	$47.79