Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $14.13 / $14.27	Facility		$13.70	$14.13	$14.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $14.13 / $14.27	Professional		$11.94	$14.13	$14.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.05 / $217.79 / $412.18	Facility		$86.05	$217.79	$412.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $98.05 / $98.05	Professional		$83.34	$98.05	$98.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.13 / $150.34 / $150.79	Facility		$88.13	$150.34	$150.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $16.29 / $20.41	Facility		$13.70	$16.29	$20.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $14.98 / $16.29	Professional		$14.98	$14.98	$16.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $16.29 / $38.89	Facility		$13.55	$16.29	$38.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $13.47 / $16.29	Professional		$12.84	$13.47	$16.29
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.91 / $20.32	Professional		$9.55	$14.91	$20.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $21.99	Professional		$16.29	$16.29	$21.99