Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.03 / $156.10 / $158.91	Facility		$148.03	$156.10	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $156.10 / $184.36	Professional		$98.77	$156.10	$184.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,076.44 / $3,140.44 / $5,214.32	Facility		$1,076.44	$3,140.44	$5,214.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $363.37 / $714.54 / $817.48	Facility		$363.37	$714.54	$817.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.35 / $1,169.68 / $1,318.35	Professional		$1,137.35	$1,169.68	$1,318.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.03 / $160.31 / $313.82	Facility		$148.03	$160.31	$313.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.90 / $146.90 / $146.90	Professional		$146.90	$146.90	$146.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.03 / $171.63 / $313.82	Facility		$148.03	$171.63	$313.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.90 / $146.90 / $146.90	Professional		$146.90	$146.90	$146.90
United Facility/Professional Professional Modifier Low / Median / High Price $129.34 / $168.42 / $265.61	Professional		$129.34	$168.42	$265.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $68.44 / $92.39	Professional		$68.44	$68.44	$92.39