Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $93.12 / $119.13	Facility		$56.10	$93.12	$119.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.66 / $78.89	Professional		$56.10	$56.66	$78.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $56.10 / $56.10	Facility		$52.93	$56.10	$56.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $274.89 / $280.50	Facility		$75.00	$274.89	$280.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.66 / $80.22 / $82.63	Facility		$56.66	$80.22	$82.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $56.10 / $101.43	Professional		$43.07	$56.10	$101.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $56.10 / $81.02	Facility		$52.93	$56.10	$81.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.88 / $56.10 / $94.16	Professional		$52.88	$56.10	$94.16
United Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $56.06 / $56.10	Facility		$56.06	$56.06	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $52.02 / $75.73	Professional		$52.02	$52.02	$75.73