Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $75.86 / $151.36	Facility		$44.67	$75.86	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $54.95	Professional		$43.65	$44.67	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $53.70 / $102.33	Facility		$20.89	$53.70	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $53.70 / $104.71	Facility		$11.75	$53.70	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $45.71	Professional		$38.90	$44.67	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $52.48 / $147.91	Facility		$12.02	$52.48	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $46.77	Professional		$43.65	$46.77	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71