Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $69.13 / $88.44	Facility		$39.86	$69.13	$88.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $40.27 / $55.82	Professional		$39.86	$40.27	$55.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $75.30 / $142.21	Facility		$29.75	$75.30	$142.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $39.86 / $39.86	Facility		$37.61	$39.86	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $195.36 / $199.35	Facility		$75.00	$195.36	$199.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $39.88 / $58.73	Facility		$25.56	$39.88	$58.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $39.86 / $72.11	Professional		$29.91	$39.86	$72.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $39.86 / $57.59	Facility		$32.81	$39.86	$57.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $39.86 / $69.90	Professional		$37.60	$39.86	$69.90
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $53.82	Professional		$38.61	$38.61	$53.82