Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $378.96 / $378.96	Facility		$71.06	$378.96	$378.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $80.53 / $135.09	Professional		$80.53	$80.53	$135.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $78.63 / $78.63	Professional		$78.63	$78.63	$78.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Facility		$80.53	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Professional		$80.53	$83.69	$83.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $292.91 / $418.45 / $418.45	Facility		$292.91	$418.45	$418.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $94.74 / $94.74	Facility		$80.53	$94.74	$94.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $80.53 / $94.74	Professional		$77.70	$80.53	$94.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $94.74	Facility		$80.53	$83.69	$94.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Professional		$80.53	$83.69	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $94.74 / $94.74	Professional		$56.84	$94.74	$94.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $82.11 / $98.66	Professional		$73.08	$82.11	$98.66