Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $72.56 / $95.31	Facility		$41.11	$72.56	$95.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.52 / $57.47	Professional		$41.11	$41.52	$57.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.82 / $98.25 / $196.04	Facility		$38.82	$98.25	$196.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $41.11 / $41.11	Facility		$38.78	$41.11	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $204.30 / $205.55	Facility		$75.00	$204.30	$205.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $58.79 / $60.55	Facility		$41.06	$58.79	$60.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $41.11 / $75.33	Professional		$30.80	$41.11	$75.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $41.11 / $59.37	Facility		$38.78	$41.11	$59.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $41.11 / $74.47	Professional		$38.82	$41.11	$74.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.62 / $55.50	Professional		$41.06	$41.62	$55.50