Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $74.45 / $136.47	Facility		$40.94	$74.45	$136.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.85 / $47.77	Professional		$43.41	$43.85	$47.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $91.96 / $189.24	Facility		$34.96	$91.96	$189.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $43.41 / $43.41	Facility		$40.95	$43.41	$43.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $221.08 / $221.08	Facility		$75.00	$221.08	$221.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $43.41 / $63.94	Facility		$11.84	$43.41	$63.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $43.41 / $90.63	Professional		$25.59	$43.41	$90.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $43.41 / $62.08	Facility		$12.76	$43.41	$62.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $43.41 / $78.56	Professional		$40.96	$43.41	$78.56
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $50.07 / $58.60	Professional		$34.11	$50.07	$58.60