Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $80.61 / $606.04	Facility		$80.61	$80.61	$606.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $80.61 / $91.98	Professional		$57.79	$80.61	$91.98
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 $69.54 / $69.54 / $69.54	Professional		$69.54	$69.54	$69.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.95 / $179.95 / $179.95	Facility		$179.95	$179.95	$179.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $318.24 / $318.24	Facility		$100.00	$318.24	$318.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $461.83 / $461.83 / $461.83	Professional		$461.83	$461.83	$461.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $80.61 / $170.89	Facility		$80.61	$80.61	$170.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.61 / $80.61 / $170.89	Facility		$80.61	$80.61	$170.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
United Facility/Professional Professional Modifier Low / Median / High Price $93.09 / $93.09 / $202.00	Professional		$93.09	$93.09	$202.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.76 / $149.16 / $201.37	Professional		$139.76	$149.16	$201.37