Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $52.05 / $109.69	Facility		$50.78	$52.05	$109.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $52.05 / $56.21	Professional		$50.78	$52.05	$56.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $132.75 / $253.34	Facility		$52.89	$132.75	$253.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $937.78 / $937.78	Facility		$75.00	$937.78	$937.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $52.05 / $74.43	Facility		$37.86	$52.05	$74.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $25.98 / $47.60	Professional		$25.98	$25.98	$47.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.67 / $53.95 / $74.43	Facility		$49.67	$53.95	$74.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $53.95 / $53.95	Professional		$41.25	$53.95	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $52.89	Professional		$52.89	$52.89	$52.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $64.61	Professional		$47.86	$47.86	$64.61