Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $126.49 / $173.19	Facility		$79.26	$126.49	$173.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $80.05 / $111.11	Professional		$79.26	$80.05	$111.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $147.97 / $281.99	Facility		$131.22	$147.97	$281.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $75.01 / $75.01	Professional		$75.01	$75.01	$75.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $79.26 / $79.26	Facility		$74.77	$79.26	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $102.35 / $388.37 / $396.30	Facility		$102.35	$388.37	$396.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $113.34 / $116.75	Facility		$79.39	$113.34	$116.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $79.26 / $143.63	Professional		$59.54	$79.26	$143.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $79.26 / $114.47	Facility		$74.77	$79.26	$114.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $79.26 / $139.61	Professional		$74.89	$79.26	$139.61
United Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $77.13 / $107.00	Professional		$77.13	$77.13	$107.00