Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $28.48 / $53.18	Facility		$21.14	$28.48	$53.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $22.16 / $36.13	Professional		$21.14	$22.16	$36.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.13 / $39.13	Professional		$39.13	$39.13	$39.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Facility		$41.64	$41.64	$41.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $41.64 / $41.64	Professional		$41.64	$41.64	$41.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $208.20 / $208.20	Facility		$50.12	$208.20	$208.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $32.58 / $47.14	Facility		$22.16	$32.58	$47.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $35.36 / $45.74	Professional		$23.84	$35.36	$45.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $41.64 / $47.14	Facility		$30.23	$41.64	$47.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $41.64 / $41.64	Professional		$35.36	$41.64	$41.64
United Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $47.14 / $47.14	Professional		$47.14	$47.14	$47.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $40.07 / $54.09	Professional		$40.07	$40.07	$54.09