Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.63 / $114.69 / $159.31	Facility		$65.63	$114.69	$159.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $66.28 / $91.98	Professional		$65.63	$66.28	$91.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.51 / $189.61 / $277.55	Facility		$51.51	$189.61	$277.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $65.63 / $65.63	Facility		$61.91	$65.63	$65.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $319.39 / $328.15	Facility		$84.97	$319.39	$328.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $66.28 / $96.65	Facility		$42.75	$66.28	$96.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $65.63 / $119.02	Professional		$49.30	$65.63	$119.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $65.63 / $94.78	Facility		$57.85	$65.63	$94.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $65.63 / $115.97	Professional		$62.05	$65.63	$115.97
United Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $105.40	Facility		$63.88	$63.88	$105.40
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $64.06 / $88.60	Professional		$64.06	$64.06	$88.60