Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $69.31 / $165.60	Facility		$41.40	$69.31	$165.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.90 / $56.88	Professional		$42.48	$42.90	$56.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $102.61 / $204.73	Facility		$40.54	$102.61	$204.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $45.79	Professional		$45.79	$45.79	$45.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $42.48 / $42.48	Facility		$40.07	$42.48	$42.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $212.40 / $213.85	Facility		$75.00	$212.40	$213.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $42.90 / $62.56	Facility		$41.40	$42.90	$62.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $42.48 / $78.41	Professional		$31.05	$42.48	$78.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $42.48 / $61.35	Facility		$40.07	$42.48	$61.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $42.48 / $76.81	Professional		$40.04	$42.48	$76.81
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $43.32 / $57.35	Professional		$42.48	$43.32	$57.35