Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.02 / $280.66 / $379.76	Facility		$256.02	$280.66	$379.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.15 / $285.89 / $379.76	Professional		$226.15	$285.89	$379.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $107.37 / $225.00	Facility		$46.10	$107.37	$225.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $41.12 / $47.62	Professional		$41.12	$41.12	$47.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $43.07 / $64.00	Facility		$43.07	$43.07	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $39.33 / $698.44	Professional		$34.33	$39.33	$698.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $76.00 / $80.00 / $100.00	Facility		$76.00	$80.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $87.82 / $379.76	Facility		$32.81	$87.82	$379.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $42.26 / $68.73	Professional		$20.65	$42.26	$68.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $87.82 / $379.76	Facility		$32.81	$87.82	$379.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $45.14 / $58.07	Professional		$34.33	$45.14	$58.07
United Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $28.01 / $51.63	Professional		$19.30	$28.01	$51.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $410.40	Professional		$304.00	$304.00	$410.40