Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $44.21 / $56.84	Facility		$25.59	$44.21	$56.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.85 / $45.13	Professional		$25.59	$25.85	$45.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $73.27 / $146.19	Facility		$28.95	$73.27	$146.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Professional		$28.97	$28.97	$28.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $25.59 / $25.59	Facility		$24.14	$25.59	$25.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.44 / $108.44	Facility		$75.00	$108.44	$108.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $33.44 / $37.69	Facility		$25.59	$33.44	$37.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $25.59 / $46.31	Professional		$20.90	$25.59	$46.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $25.59 / $36.97	Facility		$24.14	$25.59	$36.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $25.59 / $44.45	Professional		$24.15	$25.59	$44.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $24.56 / $34.54	Professional		$24.56	$24.56	$34.54