Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $371.54 / $371.54	Facility		$223.87	$371.54	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $446.68	Professional		$371.54	$371.54	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $23,988.33 / $33,884.42	Facility		$7,585.78	$23,988.33	$33,884.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $776.25	Facility		$371.54	$380.19	$776.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $316.23	Professional		$186.21	$269.15	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $31,622.78	Facility		$371.54	$524.81	$31,622.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $11,481.54 / $15,135.61	Facility		$6,165.95	$11,481.54	$15,135.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10