Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.43 / $344.70 / $1,711.00	Facility		$252.43	$344.70	$1,711.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.72 / $350.65 / $613.71	Facility		$136.72	$350.65	$613.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.35 / $125.35 / $125.35	Professional		$125.35	$125.35	$125.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.02 / $409.17 / $573.78	Facility		$134.02	$409.17	$573.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,335.23 / $3,335.23 / $3,335.23	Professional		$3,335.23	$3,335.23	$3,335.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,065.00 / $2,065.00 / $2,065.00	Facility		$2,065.00	$2,065.00	$2,065.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $393.33 / $573.78	Facility		$133.52	$393.33	$573.78