Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $602.56 / $1,023.29	Facility		$263.03	$602.56	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $186.21 / $186.21	Professional		$54.95	$186.21	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $954.99 / $954.99	Facility		$338.84	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,380.38	Professional		$398.11	$398.11	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $263.03 / $616.60	Facility		$34.67	$263.03	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $1,949.84	Facility		$758.58	$1,479.11	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $371.54	Professional		$295.12	$302.00	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $426.58	Professional		$346.74	$346.74	$426.58