Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $57.19 / $102.24	Facility		$39.54	$57.19	$102.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.94 / $55.46	Professional		$39.54	$39.94	$55.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $101.60 / $209.42	Facility		$41.47	$101.60	$209.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $41.47 / $41.47	Professional		$41.47	$41.47	$41.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $39.54 / $39.54	Facility		$37.29	$39.54	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.40 / $360.55 / $360.55	Facility		$86.40	$360.55	$360.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $53.68 / $58.24	Facility		$39.61	$53.68	$58.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $39.54 / $71.53	Professional		$29.72	$39.54	$71.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $39.54 / $58.24	Facility		$37.29	$39.54	$58.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $39.54 / $52.02	Professional		$37.29	$39.54	$52.02
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $28.74 / $53.38	Professional		$28.74	$28.74	$53.38