Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $120.69 / $171.12	Facility		$78.43	$120.69	$171.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $79.72 / $107.74	Professional		$78.93	$79.72	$107.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $239.96 / $416.93	Facility		$96.36	$239.96	$416.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $78.93	Facility		$74.47	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.99 / $394.65 / $398.70	Facility		$104.99	$394.65	$398.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $112.87 / $117.39	Facility		$78.43	$112.87	$117.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $78.93 / $145.63	Professional		$58.82	$78.93	$145.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $78.93 / $114.00	Facility		$74.47	$78.93	$114.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $78.93 / $143.06	Professional		$74.58	$78.93	$143.06
United Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $131.57 / $131.57	Facility		$97.28	$131.57	$131.57
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $80.45 / $106.56	Professional		$78.93	$80.45	$106.56