Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $101.62 / $130.00	Facility		$63.68	$101.62	$130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $64.31 / $87.42	Professional		$63.68	$64.31	$87.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.76 / $161.38 / $321.99	Facility		$63.76	$161.38	$321.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $59.64	Professional		$59.64	$59.64	$59.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $63.68 / $63.68	Facility		$60.08	$63.68	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $312.02 / $318.39	Facility		$113.87	$312.02	$318.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $91.06 / $93.79	Facility		$62.47	$91.06	$93.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $63.68 / $115.51	Professional		$46.85	$63.68	$115.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $63.68 / $91.98	Facility		$60.08	$63.68	$91.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $63.68 / $102.75	Professional		$60.22	$63.68	$102.75
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $71.31 / $71.31	Professional		$50.94	$71.31	$71.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $56.77 / $85.97	Professional		$56.77	$56.77	$85.97