Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,181.00 / $7,513.00	Facility		$647.00	$2,181.00	$7,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.25 / $1,645.00 / $4,573.00	Professional		$395.25	$1,645.00	$4,573.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.22 / $319.70 / $705.08	Facility		$164.22	$319.70	$705.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $2,277.00 / $4,619.00	Facility		$900.00	$2,277.00	$4,619.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.76 / $412.76 / $412.76	Professional		$412.76	$412.76	$412.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $523.00 / $891.00 / $891.00	Professional		$523.00	$891.00	$891.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $470.00 / $470.00 / $470.00	Facility		$470.00	$470.00	$470.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $470.00 / $2,024.00 / $2,530.00	Facility		$470.00	$2,024.00	$2,530.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $412.76 / $412.76 / $412.76	Professional		$412.76	$412.76	$412.76
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 $239.34 / $750.00 / $750.00	Professional		$239.34	$750.00	$750.00