Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $245.47	Facility		$223.87	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,023.29 / $1,621.81	Facility		$371.54	$1,023.29	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $794.33 / $1,445.44	Facility		$323.59	$794.33	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $575.44	Professional		$338.84	$338.84	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $245.47	Facility		$223.87	$223.87	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $2,691.53	Professional		$588.84	$588.84	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $891.25 / $1,621.81	Facility		$323.59	$891.25	$1,621.81
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 $323.59 / $630.96 / $831.76	Facility		$323.59	$630.96	$831.76