Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $30.81 / $31.76	Facility		$30.49	$30.81	$31.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $31.44 / $34.29	Professional		$23.18	$31.44	$34.29
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 $25.41 / $25.41 / $25.41	Professional		$25.41	$25.41	$25.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $169.74 / $172.28	Facility		$73.63	$169.74	$172.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.49 / $44.06	Facility		$19.05	$30.49	$44.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $18.37 / $36.27	Professional		$14.41	$18.37	$36.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $30.91 / $44.96	Facility		$19.05	$30.91	$44.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $21.60 / $33.01	Professional		$14.41	$21.60	$33.01
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $27.89 / $37.50	Professional		$21.53	$27.89	$37.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $48.96	Professional		$36.27	$36.27	$48.96