Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $49.93 / $65.33	Facility		$28.68	$49.93	$65.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.97 / $39.92	Professional		$28.68	$28.97	$39.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $61.17 / $122.06	Facility		$24.17	$61.17	$122.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $29.89 / $29.89	Professional		$29.89	$29.89	$29.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $28.68 / $28.68	Facility		$27.06	$28.68	$28.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $142.65 / $143.40	Facility		$75.00	$142.65	$143.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $41.01 / $42.24	Facility		$28.52	$41.01	$42.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $28.68 / $52.18	Professional		$21.39	$28.68	$52.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $28.68 / $41.43	Facility		$27.06	$28.68	$41.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $28.68 / $51.64	Professional		$27.21	$28.68	$51.64
United Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $28.68 / $28.68	Professional		$28.68	$28.68	$28.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.53 / $38.72	Professional		$28.52	$28.53	$38.72