Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.88 / $586.59 / $604.91	Facility		$472.88	$586.59	$604.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.77 / $568.26 / $1,676.65	Professional		$462.77	$568.26	$1,676.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.35 / $447.26 / $623.13	Professional		$353.35	$447.26	$623.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,769.14	Facility		$55.00	$55.00	$1,769.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,144.28 / $4,568.99 / $4,568.99	Professional		$4,144.28	$4,568.99	$4,568.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.95 / $499.25 / $890.86	Facility		$384.95	$499.25	$890.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $366.62 / $366.62 / $366.62	Professional		$366.62	$366.62	$366.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.71 / $524.99 / $984.24	Facility		$369.71	$524.99	$984.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.62 / $653.99 / $1,181.41	Professional		$366.62	$653.99	$1,181.41
United Facility/Professional Professional Modifier Low / Median / High Price $332.02 / $447.63 / $698.24	Professional		$332.02	$447.63	$698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $366.62 / $497.42	Professional		$318.58	$366.62	$497.42