Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $52.34 / $82.94	Facility		$38.40	$52.34	$82.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $39.36 / $53.21	Professional		$38.40	$39.36	$53.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.95 / $94.00 / $202.00	Facility		$35.95	$94.00	$202.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Facility		$42.40	$42.40	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $42.40 / $42.40	Professional		$42.40	$42.40	$42.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $100.00 / $100.00	Facility		$48.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $40.22 / $56.28	Facility		$12.78	$40.22	$56.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $17.01 / $36.00	Professional		$8.86	$17.01	$36.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $42.40 / $56.28	Facility		$38.40	$42.40	$56.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $42.40 / $42.40	Professional		$14.07	$42.40	$42.40
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $55.08	Professional		$40.79	$40.79	$55.08