Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $162.08 / $217.77	Facility		$99.97	$162.08	$217.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $100.97 / $139.71	Professional		$99.97	$100.97	$139.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $240.45 / $479.75	Facility		$95.00	$240.45	$479.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $100.79 / $100.79	Professional		$100.79	$100.79	$100.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $99.97 / $99.97	Facility		$94.31	$99.97	$99.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.74 / $495.20 / $499.85	Facility		$131.74	$495.20	$499.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $142.96 / $147.25	Facility		$99.82	$142.96	$147.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $99.97 / $181.17	Professional		$74.87	$99.97	$181.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $99.97 / $144.38	Facility		$94.31	$99.97	$144.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $99.97 / $178.88	Professional		$94.45	$99.97	$178.88
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $98.83 / $134.96	Professional		$98.83	$98.83	$134.96