Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $122.34 / $176.17	Facility		$80.75	$122.34	$176.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $81.72 / $110.92	Professional		$80.91	$81.72	$110.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $184.29 / $363.55	Facility		$71.98	$184.29	$363.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.67 / $78.67 / $78.67	Professional		$78.67	$78.67	$78.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $80.91 / $80.91	Facility		$76.33	$80.91	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $103.52 / $396.46 / $404.55	Facility		$103.52	$396.46	$404.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $115.70 / $119.18	Facility		$80.75	$115.70	$119.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $80.91 / $146.57	Professional		$60.56	$80.91	$146.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $80.91 / $116.86	Facility		$76.33	$80.91	$116.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $80.91 / $140.93	Professional		$76.42	$80.91	$140.93
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $77.86 / $109.23	Professional		$77.86	$77.86	$109.23