Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $89.52 / $134.50	Facility		$54.71	$89.52	$134.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.25 / $83.84	Professional		$54.71	$55.25	$83.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $108.71 / $227.55	Facility		$47.16	$108.71	$227.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $57.87 / $57.87	Professional		$57.87	$57.87	$57.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $54.71 / $54.71	Facility		$51.61	$54.71	$54.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $314.05 / $314.05	Facility		$75.00	$314.05	$314.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $61.24 / $80.58	Facility		$55.25	$61.24	$80.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $54.71 / $101.27	Professional		$41.61	$54.71	$101.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $54.71 / $79.01	Facility		$51.61	$54.71	$79.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $54.71 / $99.09	Professional		$51.66	$54.71	$99.09
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $55.95 / $73.86	Professional		$54.71	$55.95	$73.86