Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $76.88 / $144.00	Facility		$60.00	$76.88	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $61.50 / $83.14	Professional		$60.00	$61.50	$83.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $242.14 / $499.85	Facility		$101.90	$242.14	$499.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $50.50 / $50.50	Professional		$50.50	$50.50	$50.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,199.84 / $2,551.37 / $2,813.76	Facility		$2,199.84	$2,551.37	$2,813.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $75.00 / $1,939.72	Facility		$52.71	$75.00	$1,939.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.25 / $1,467.24 / $2,814.30	Professional		$56.25	$1,467.24	$2,814.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $63.75 / $101.89	Facility		$61.50	$63.75	$101.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $2,329.44	Professional		$63.75	$63.75	$2,329.44
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Professional		$62.50	$62.50	$62.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $77.63	Professional		$57.50	$57.50	$77.63