Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $633.11 / $1,774.33	Facility		$238.50	$633.11	$1,774.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.37 / $238.50 / $299.94	Professional		$202.37	$238.50	$299.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.16 / $361.37 / $361.37	Professional		$307.16	$361.37	$361.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $258.05 / $1,091.52	Facility		$228.32	$258.05	$1,091.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.97 / $439.97 / $527.13	Professional		$439.97	$439.97	$527.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $578.19 / $1,716.51 / $1,716.51	Facility		$578.19	$1,716.51	$1,716.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.62 / $1,799.62 / $2,710.28	Professional		$1,799.62	$1,799.62	$2,710.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.82 / $361.37 / $538.44	Facility		$216.82	$361.37	$538.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.37 / $361.37 / $451.71	Professional		$361.37	$361.37	$451.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.82 / $346.23 / $615.41	Facility		$216.82	$346.23	$615.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $341.44 / $397.51 / $632.40	Professional		$341.44	$397.51	$632.40
United Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $151.78 / $248.44	Professional		$151.78	$151.78	$248.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.19 / $205.82 / $361.37	Professional		$187.19	$205.82	$361.37