Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $72.04 / $153.36	Facility		$63.90	$72.04	$153.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $65.48 / $89.07	Professional		$63.90	$65.48	$89.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $67.15 / $127.08	Facility		$26.53	$67.15	$127.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $305.73 / $339.50	Facility		$107.24	$305.73	$339.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $65.48 / $93.65	Facility		$18.69	$65.48	$93.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $71.53 / $137.19	Professional		$59.90	$71.53	$137.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $67.89 / $93.65	Facility		$18.95	$67.89	$93.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $113.56	Professional		$67.89	$67.89	$113.56
United Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $66.56 / $66.56	Professional		$53.25	$66.56	$66.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $39.04 / $52.70	Professional		$39.04	$39.04	$52.70