Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $758.58	Facility		$223.87	$223.87	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $831.76	Facility		$234.42	$398.11	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $776.25 / $1,202.26	Facility		$302.00	$776.25	$1,202.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $812.83 / $1,258.93	Facility		$302.00	$812.83	$1,258.93
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 $177.83 / $371.54 / $489.78	Facility		$177.83	$371.54	$489.78