Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.40 / $84.00 / $146.62	Facility		$50.40	$84.00	$146.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $50.45 / $108.86	Professional		$49.95	$50.45	$108.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $78.47 / $159.90	Facility		$32.97	$78.47	$159.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $30.41 / $30.41	Professional		$30.41	$30.41	$30.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $49.95 / $49.95	Facility		$47.12	$49.95	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $273.30 / $273.30	Facility		$75.00	$273.30	$273.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $71.43 / $92.44	Facility		$50.45	$71.43	$92.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.07 / $50.40 / $90.29	Professional		$47.07	$50.40	$90.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $49.95 / $74.29	Facility		$47.12	$49.95	$74.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $73.72	Professional		$49.95	$49.95	$73.72
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $67.43	Professional		$40.72	$40.72	$67.43