Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.12 / $85.02 / $122.43	Facility		$56.12	$85.02	$122.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $56.12 / $72.90	Professional		$52.73	$56.12	$72.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $108.11 / $214.12	Facility		$42.40	$108.11	$214.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Facility		$54.00	$54.00	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $278.80 / $278.80	Facility		$75.00	$278.80	$278.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $56.12 / $74.48	Facility		$35.74	$56.12	$74.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $47.65 / $66.83	Professional		$34.85	$47.65	$66.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.38 / $54.00 / $82.65	Facility		$37.38	$54.00	$82.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $54.00 / $54.00	Professional		$47.65	$54.00	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $59.29 / $59.29	Professional		$47.65	$59.29	$59.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $71.47	Professional		$52.94	$52.94	$71.47