Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $49.09 / $62.28	Facility		$25.18	$49.09	$62.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $30.14 / $33.58	Professional		$29.83	$30.14	$33.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.78 / $171.55 / $342.29	Facility		$67.78	$171.55	$342.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $28.80	Professional		$28.80	$28.80	$28.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $29.84 / $29.84	Facility		$28.15	$29.84	$29.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $88.93 / $149.19 / $149.78	Facility		$88.93	$149.19	$149.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $42.67 / $44.39	Facility		$24.45	$42.67	$44.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $29.84 / $55.53	Professional		$18.34	$29.84	$55.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $29.84 / $43.10	Facility		$28.15	$29.84	$43.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $29.84 / $53.95	Professional		$28.12	$29.84	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $30.68 / $40.28	Professional		$24.45	$30.68	$40.28