Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $75.92 / $99.34	Facility		$43.19	$75.92	$99.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.62 / $60.58	Professional		$43.19	$43.62	$60.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.04 / $101.37 / $202.25	Facility		$40.04	$101.37	$202.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $48.84 / $48.84	Professional		$48.84	$48.84	$48.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $43.19 / $43.19	Facility		$40.75	$43.19	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $216.90 / $216.90	Facility		$75.00	$216.90	$216.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $61.76 / $63.62	Facility		$43.19	$61.76	$63.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $43.19 / $78.56	Professional		$32.47	$43.19	$78.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $43.19 / $62.38	Facility		$40.75	$43.19	$62.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $43.19 / $78.52	Professional		$40.96	$43.19	$78.52
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $43.38 / $58.31	Professional		$43.29	$43.38	$58.31