Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $57.90 / $198.32	Facility		$39.65	$57.90	$198.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $40.65 / $54.96	Professional		$39.65	$40.65	$54.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $83.04 / $164.98	Facility		$32.81	$83.04	$164.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $42.55 / $42.55	Professional		$42.55	$42.55	$42.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Facility		$42.14	$42.14	$42.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $202.60 / $212.85	Facility		$75.00	$202.60	$212.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $34.78 / $58.14	Facility		$20.30	$34.78	$58.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $33.43 / $37.19	Professional		$17.42	$33.43	$37.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $42.14 / $58.14	Facility		$27.49	$42.14	$58.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $42.14 / $42.14	Professional		$27.66	$42.14	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Professional		$41.31	$41.31	$41.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $39.38 / $53.16	Professional		$39.38	$39.38	$53.16