Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $99.14 / $135.96	Facility		$50.37	$99.14	$135.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.87 / $78.50	Professional		$50.37	$50.87	$78.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $127.89 / $251.64	Facility		$50.53	$127.89	$251.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $67.79 / $67.79	Professional		$67.79	$67.79	$67.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $50.37 / $50.37	Facility		$47.51	$50.37	$50.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $264.98 / $299.39	Facility		$75.00	$264.98	$299.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $56.09 / $74.19	Facility		$24.27	$56.09	$74.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $50.37 / $108.64	Professional		$42.07	$50.37	$108.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $50.37 / $72.03	Facility		$32.45	$50.37	$72.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $50.37 / $91.46	Professional		$47.69	$50.37	$91.46
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $56.07 / $56.07	Professional		$50.37	$56.07	$56.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.09 / $60.02 / $68.00	Professional		$56.09	$60.02	$68.00