Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.13 / $254.42 / $709.52	Facility		$87.13	$254.42	$709.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $100.03 / $156.07	Professional		$83.94	$100.03	$156.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.20 / $1,702.42 / $3,260.36	Facility		$628.20	$1,702.42	$3,260.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $39.40 / $39.40	Professional		$33.50	$39.40	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.51 / $153.43 / $582.98	Facility		$51.51	$153.43	$582.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $74.36 / $149.19	Professional		$46.93	$74.36	$149.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $214.74 / $557.70 / $602.14	Facility		$214.74	$557.70	$602.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $87.53 / $146.36	Facility		$70.48	$87.53	$146.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.52 / $92.93 / $59,999.40	Professional		$89.52	$92.93	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $103.25 / $409.41	Facility		$70.48	$103.25	$409.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $51.51 / $138.09	Professional		$44.37	$51.51	$138.09
United Facility/Professional Facility Modifier Low / Median / High Price $613.64 / $662.08 / $1,704.00	Facility		$613.64	$662.08	$1,704.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $61.24 / $87.48	Professional		$39.45	$61.24	$87.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $59.33 / $76.83	Professional		$14.93	$59.33	$76.83