Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $69.77 / $91.30	Facility		$39.83	$69.77	$91.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $40.22 / $55.73	Professional		$39.83	$40.22	$55.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $89.30 / $189.24	Facility		$38.00	$89.30	$189.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $39.14 / $39.14	Professional		$39.14	$39.14	$39.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $39.83 / $39.83	Facility		$37.57	$39.83	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $199.15 / $199.35	Facility		$75.00	$199.15	$199.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $56.96 / $58.66	Facility		$39.83	$56.96	$58.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.87 / $39.83 / $72.16	Professional		$29.87	$39.83	$72.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $39.83 / $57.51	Facility		$37.57	$39.83	$57.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $39.83 / $72.11	Professional		$37.60	$39.83	$72.11
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.86 / $53.77	Professional		$39.83	$39.86	$53.77