Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $69.56 / $95.71	Facility		$49.28	$69.56	$95.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.77 / $63.04	Professional		$49.28	$49.77	$63.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $33.54 / $66.25	Facility		$13.25	$33.54	$66.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $44.49 / $44.49	Professional		$44.49	$44.49	$44.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $49.28 / $49.28	Facility		$46.49	$49.28	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $170.63 / $170.63	Facility		$75.00	$170.63	$170.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $49.28 / $72.59	Facility		$6.83	$49.28	$72.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $49.28 / $89.12	Professional		$35.18	$49.28	$89.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.88 / $49.28 / $70.47	Facility		$7.88	$49.28	$70.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $49.28 / $69.95	Professional		$46.46	$49.28	$69.95
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $66.53	Professional		$38.65	$38.65	$66.53