Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $50.59 / $64.72	Facility		$34.49	$50.59	$64.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $37.04 / $43.89	Professional		$36.69	$37.04	$43.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $170.85 / $356.25	Facility		$67.50	$170.85	$356.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $77.25 / $77.25	Professional		$77.25	$77.25	$77.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $36.69 / $36.69	Facility		$34.61	$36.69	$36.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.69 / $124.77 / $124.77	Facility		$79.69	$124.77	$124.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $36.69 / $54.04	Facility		$7.64	$36.69	$54.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $36.69 / $66.26	Professional		$23.51	$36.69	$66.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $36.69 / $52.47	Facility		$9.69	$36.69	$52.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $36.69 / $51.15	Professional		$34.54	$36.69	$51.15
United Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $28.26 / $49.53	Professional		$28.26	$28.26	$49.53