Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $44.23 / $3,285.60	Facility		$30.32	$44.23	$3,285.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.63 / $33.69	Professional		$30.32	$30.63	$33.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.20 / $893.95 / $1,783.66	Facility		$353.20	$893.95	$1,783.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $30.32 / $30.32	Facility		$23.58	$30.32	$30.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $392.55 / $1,527.75 / $1,527.75	Facility		$392.55	$1,527.75	$1,527.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $43.36 / $692.48	Facility		$27.99	$43.36	$692.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $28.73 / $44.73	Professional		$20.99	$28.73	$44.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $30.32 / $44.66	Facility		$23.58	$30.32	$44.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $30.32 / $32.90	Professional		$28.73	$30.32	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $33.75 / $33.75	Professional		$30.32	$33.75	$33.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $24.71 / $40.93	Professional		$24.71	$24.71	$40.93