Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $93.33 / $120.23	Facility		$48.98	$93.33	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $63.10	Professional		$48.98	$50.12	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $75.86 / $144.54	Facility		$30.90	$75.86	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $50.12 / $50.12	Facility		$46.77	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $54.95 / $102.33	Facility		$48.98	$54.95	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $63.10	Professional		$47.86	$50.12	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $69.18 / $154.88	Facility		$40.74	$69.18	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $53.70	Professional		$48.98	$48.98	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $50.12 / $50.12	Facility		$48.98	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12