Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $54.41 / $77.84	Facility		$35.54	$54.41	$77.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $50.26	Professional		$35.54	$35.90	$50.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $53.00 / $105.24	Facility		$21.09	$53.00	$105.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $25.76 / $25.76	Professional		$25.76	$25.76	$25.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $35.54 / $35.54	Facility		$33.54	$35.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $174.20 / $177.75	Facility		$75.00	$174.20	$177.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $35.90 / $52.37	Facility		$11.35	$35.90	$52.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $35.54 / $64.48	Professional		$26.93	$35.54	$64.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $35.54 / $51.35	Facility		$15.75	$35.54	$51.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $35.54 / $61.52	Professional		$33.61	$35.54	$61.52
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $33.99 / $47.99	Professional		$33.99	$33.99	$47.99