Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $96.65 / $279.81	Facility		$39.84	$96.65	$279.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.84 / $65.42	Professional		$39.45	$39.84	$65.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.38 / $388.02 / $822.02	Facility		$162.38	$388.02	$822.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $82.94 / $82.94	Professional		$82.94	$82.94	$82.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $39.45 / $39.45	Facility		$37.21	$39.45	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.40 / $430.71 / $716.58	Facility		$219.40	$430.71	$716.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $56.41 / $310.77	Facility		$39.84	$56.41	$310.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $39.45 / $109.43	Professional		$30.29	$39.45	$109.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $39.45 / $99.82	Facility		$37.21	$39.45	$99.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $39.45 / $71.53	Professional		$37.29	$39.45	$71.53
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $53.26 / $60.46	Professional		$39.45	$53.26	$60.46