Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $79.70 / $112.15	Facility		$51.92	$79.70	$112.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $79.70 / $86.81	Professional		$78.92	$79.70	$86.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $129.18 / $254.82	Facility		$50.46	$129.18	$254.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $57.81 / $57.81	Professional		$57.81	$57.81	$57.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $78.92 / $78.92	Facility		$74.45	$78.92	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $111.43 / $386.71 / $394.60	Facility		$111.43	$386.71	$394.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $112.86 / $116.23	Facility		$51.41	$112.86	$116.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $78.92 / $143.06	Professional		$38.56	$78.92	$143.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $78.92 / $113.99	Facility		$74.45	$78.92	$113.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $78.92 / $101.20	Professional		$74.58	$78.92	$101.20
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $87.85 / $87.85	Professional		$78.92	$87.85	$87.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $55.91 / $106.54	Professional		$51.41	$55.91	$106.54