Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $118.83 / $264.33	Facility		$75.86	$118.83	$264.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $76.62 / $111.87	Professional		$75.86	$76.62	$111.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.10 / $149.58 / $295.50	Facility		$59.10	$149.58	$295.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $86.29 / $86.29	Professional		$86.29	$86.29	$86.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $75.86 / $75.86	Facility		$71.56	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $371.71 / $379.30	Facility		$96.13	$371.71	$379.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $76.62 / $111.73	Facility		$44.35	$76.62	$111.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $75.86 / $137.79	Professional		$56.90	$75.86	$137.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $75.86 / $109.57	Facility		$53.20	$75.86	$109.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $75.86 / $131.15	Professional		$71.83	$75.86	$131.15
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $102.41	Professional		$72.45	$72.45	$102.41