Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $48.17 / $74.59	Facility		$25.46	$48.17	$74.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.71 / $43.07	Professional		$25.46	$25.71	$43.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $85.74 / $171.26	Facility		$32.95	$85.74	$171.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $37.29 / $37.29	Professional		$37.29	$37.29	$37.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $25.46 / $25.46	Facility		$24.02	$25.46	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $181.85 / $181.85	Facility		$75.00	$181.85	$181.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $30.77 / $37.49	Facility		$18.19	$30.77	$37.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $25.46 / $59.48	Professional		$23.08	$25.46	$59.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.03 / $25.46 / $36.40	Facility		$21.03	$25.46	$36.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $25.46 / $46.31	Professional		$24.15	$25.46	$46.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $28.52 / $28.52	Professional		$21.64	$28.52	$28.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $32.86 / $34.36	Professional		$30.77	$32.86	$34.36