Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $39.28 / $90.48	Facility		$21.48	$39.28	$90.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.70 / $36.64	Professional		$21.48	$21.70	$36.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $118.14 / $246.16	Facility		$44.49	$118.14	$246.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $35.22 / $35.22	Professional		$35.22	$35.22	$35.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $21.48 / $21.48	Facility		$20.27	$21.48	$21.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $132.80 / $132.80	Facility		$75.00	$132.80	$132.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $22.62 / $31.65	Facility		$15.81	$22.62	$31.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $21.48 / $43.40	Professional		$16.97	$21.48	$43.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $21.48 / $31.65	Facility		$20.27	$21.48	$31.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $21.48 / $39.86	Professional		$20.79	$21.48	$39.86
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $23.98 / $29.00	Professional		$22.62	$23.98	$29.00