Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.26 / $55.29 / $121.82	Facility		$50.26	$55.29	$121.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $50.26 / $66.98	Professional		$46.70	$50.26	$66.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $67.25 / $128.85	Facility		$26.90	$67.25	$128.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $33.63 / $33.63	Professional		$33.63	$33.63	$33.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Facility		$49.62	$49.62	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $206.30 / $218.93	Facility		$75.00	$206.30	$218.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $47.87 / $68.45	Facility		$13.28	$47.87	$68.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $41.04 / $43.79	Professional		$21.40	$41.04	$43.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $49.62 / $74.03	Facility		$25.39	$49.62	$74.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $49.62 / $49.62	Professional		$41.04	$49.62	$49.62
United Facility/Professional Facility Modifier Low / Median / High Price $71.22 / $96.33 / $96.33	Facility		$71.22	$96.33	$96.33
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $48.65	Professional		$48.65	$48.65	$48.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $65.68	Professional		$48.65	$48.65	$65.68