Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $54.48 / $115.97	Facility		$48.32	$54.48	$115.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $49.53 / $66.95	Professional		$45.90	$49.53	$66.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $144.55 / $288.41	Facility		$57.11	$144.55	$288.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Facility		$47.34	$47.34	$47.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $120.80 / $226.50	Facility		$75.00	$120.80	$226.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $45.67 / $65.31	Facility		$9.34	$45.67	$65.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $14.08 / $45.03	Professional		$7.34	$14.08	$45.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $47.34 / $70.83	Facility		$9.34	$47.34	$70.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $47.34 / $47.34	Professional		$11.65	$47.34	$47.34
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $46.41	Professional		$46.41	$46.41	$46.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $50.33 / $67.95	Professional		$50.33	$50.33	$67.95