Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Facility		$174.10	$174.10	$174.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.99 / $174.10 / $249.99	Professional		$147.99	$174.10	$249.99
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $894.40	Facility		$100.00	$100.00	$894.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $690.53 / $690.53 / $690.53	Professional		$690.53	$690.53	$690.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $393.50	Facility		$174.10	$174.10	$393.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $399.98	Facility		$174.10	$174.10	$399.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72
United Facility/Professional Professional Modifier Low / Median / High Price $269.67 / $269.67 / $269.67	Professional		$269.67	$269.67	$269.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $305.97 / $413.06	Professional		$248.99	$305.97	$413.06