Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $39.65 / $68.02	Facility		$31.09	$39.65	$68.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.40 / $34.53	Professional		$31.09	$31.40	$34.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $126.04 / $251.49	Facility		$49.80	$126.04	$251.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $22.68 / $22.68	Professional		$22.68	$22.68	$22.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $20.41 / $20.41	Facility		$18.05	$20.41	$20.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $257.50 / $257.50	Facility		$75.00	$257.50	$257.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $29.47 / $31.18	Facility		$20.61	$29.47	$31.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $19.26 / $35.89	Professional		$15.67	$19.26	$35.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $20.41 / $45.79	Facility		$18.05	$20.41	$45.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $20.41 / $22.14	Professional		$19.26	$20.41	$22.14
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $34.68 / $34.68	Professional		$34.68	$34.68	$34.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $27.55	Professional		$19.82	$19.82	$27.55