Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $134.50 / $8,993.73	Facility		$75.91	$134.50	$8,993.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $76.66 / $100.20	Professional		$75.90	$76.66	$100.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $130.02 / $258.48	Facility		$50.25	$130.02	$258.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $81.50 / $81.50	Professional		$81.50	$81.50	$81.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $75.91 / $75.91	Facility		$71.61	$75.91	$75.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97.61 / $371.96 / $379.55	Facility		$97.61	$371.96	$379.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $76.66 / $111.80	Facility		$54.81	$76.66	$111.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $75.91 / $137.79	Professional		$54.87	$75.91	$137.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $75.91 / $109.62	Facility		$54.81	$75.91	$109.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $75.91 / $128.31	Professional		$71.83	$75.91	$128.31
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $70.89 / $102.48	Professional		$70.89	$70.89	$102.48