Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.57 / $239.64 / $241.84	Facility		$225.57	$239.64	$241.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $225.57 / $255.35	Professional		$214.04	$225.57	$255.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,274.83 / $3,170.20 / $5,419.53	Facility		$1,274.83	$3,170.20	$5,419.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,050.57 / $1,050.57 / $1,050.57	Facility		$1,050.57	$1,050.57	$1,050.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.93 / $237.98 / $374.87	Professional		$219.93	$237.98	$374.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $605.61 / $4,042.45 / $4,042.45	Facility		$605.61	$4,042.45	$4,042.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,523.18 / $1,557.45 / $2,512.19	Professional		$1,523.18	$1,557.45	$2,512.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.64 / $322.57 / $483.50	Facility		$239.64	$322.57	$483.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.68 / $277.68 / $283.04	Professional		$277.68	$277.68	$283.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.77 / $322.57 / $680.19	Facility		$236.77	$322.57	$680.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.93 / $239.56 / $374.87	Professional		$219.93	$239.56	$374.87
United Facility/Professional Facility Modifier Low / Median / High Price $980.66 / $1,004.41 / $1,058.06	Facility		$980.66	$1,004.41	$1,058.06
United Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $243.47 / $368.12	Professional		$196.33	$243.47	$368.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $283.04 / $403.46	Professional		$230.74	$283.04	$403.46