Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $49.73 / $105.86	Facility		$44.11	$49.73	$105.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $45.21 / $61.49	Professional		$44.11	$45.21	$61.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.03 / $53.23 / $105.57	Facility		$21.03	$53.23	$105.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $235.95 / $235.95	Facility		$75.00	$235.95	$235.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $43.38 / $64.65	Facility		$10.31	$43.38	$64.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $17.59 / $41.36	Professional		$9.17	$17.59	$41.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $46.87 / $64.65	Facility		$11.70	$46.87	$64.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $46.87 / $46.87	Professional		$17.59	$46.87	$46.87
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $45.95	Professional		$45.95	$45.95	$45.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $62.03	Professional		$45.95	$45.95	$62.03