Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $22.80 / $8,430.39	Facility		$22.80	$22.80	$8,430.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $24.62 / $45.59	Professional		$22.80	$24.62	$45.59
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 $24.78 / $24.78 / $24.78	Professional		$24.78	$24.78	$24.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $34.94	Professional		$34.94	$34.94	$34.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $241.16 / $241.16	Facility		$86.97	$241.16	$241.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $35.21 / $65.19	Facility		$22.80	$35.21	$65.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $42.18 / $52.07	Professional		$42.18	$42.18	$52.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $41.07 / $65.19	Facility		$22.80	$41.07	$65.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $41.35 / $52.07	Professional		$34.94	$41.35	$52.07
United Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $29.29 / $39.04	Professional		$19.23	$29.29	$39.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $70.29 / $399.80	Professional		$52.07	$70.29	$399.80