Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Facility		$224.00	$224.00	$224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.00 / $1,201.00 / $1,201.00	Professional		$1,201.00	$1,201.00	$1,201.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,055.06 / $3,526.36 / $4,666.95	Facility		$1,055.06	$3,526.36	$4,666.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $27.10	Professional		$8.13	$8.13	$27.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.40 / $700.00 / $2,742.34	Facility		$337.40	$700.00	$2,742.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,020.85 / $1,201.00 / $1,921.60	Facility		$1,020.85	$1,201.00	$1,921.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,020.85 / $1,201.00 / $1,921.60	Facility		$1,020.85	$1,201.00	$1,921.60
United Facility/Professional Facility Modifier Low / Median / High Price $950.50 / $1,805.95 / $2,138.63	Facility		$950.50	$1,805.95	$2,138.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.56 / $353.56 / $477.31	Professional		$353.56	$353.56	$477.31