Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.14 / $1,240.75 / $1,894.26	Professional		$1,092.14	$1,240.75	$1,894.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.48 / $1,586.39 / $2,284.01	Professional		$1,062.48	$1,586.39	$2,284.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.79 / $1,602.03 / $2,482.01	Professional		$1,162.79	$1,602.03	$2,482.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,976.00 / $9,976.00 / $9,976.00	Professional		$9,976.00	$9,976.00	$9,976.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.05 / $1,686.06 / $2,090.71	Professional		$1,405.05	$1,686.06	$2,090.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,169.50 / $1,653.33 / $2,534.44	Professional		$1,169.50	$1,653.33	$2,534.44
United Facility/Professional Professional Modifier Low / Median / High Price $991.65 / $1,313.47 / $2,019.40	Professional		$991.65	$1,313.47	$2,019.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $959.33 / $1,095.82 / $1,519.13	Professional		$959.33	$1,095.82	$1,519.13