Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,444.00 / $7,513.00	Facility		$649.00	$2,444.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $1,686.00	Professional		$126.00	$126.00	$1,686.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $109.15 / $189.31	Facility		$44.34	$109.15	$189.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $123.27 / $145.02	Professional		$123.27	$123.27	$145.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.16 / $139.16 / $180.56	Facility		$139.16	$139.16	$180.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $134.82	Facility		$126.00	$126.00	$134.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $180.56	Facility		$126.00	$126.00	$180.56
United Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $919.00 / $2,290.00	Facility		$146.00	$919.00	$2,290.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $164.00 / $221.40	Professional		$164.00	$164.00	$221.40