Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $80.17 / $170.64	Facility		$71.09	$80.17	$170.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $72.88 / $99.12	Professional		$71.09	$72.88	$99.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Facility		$75.55	$75.55	$75.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $203.45	Facility		$100.00	$100.00	$203.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $101.67 / $104.22	Facility		$9.10	$101.67	$104.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $66.66 / $66.66	Professional		$66.66	$66.66	$66.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $75.55 / $104.22	Facility		$75.55	$75.55	$104.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $75.55 / $75.55	Professional		$75.55	$75.55	$75.55
United Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $88.88 / $88.88	Professional		$88.88	$88.88	$88.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $2.29	Professional		$1.70	$1.70	$2.29