Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.32 / $1,803.30 / $6,057.87	Facility		$652.32	$1,803.30	$6,057.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.41 / $748.85 / $1,240.07	Professional		$628.41	$748.85	$1,240.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $419.84 / $741.89	Facility		$143.50	$419.84	$741.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.72 / $357.32 / $357.32	Professional		$303.72	$357.32	$357.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.90 / $1,839.98 / $4,579.55	Facility		$523.90	$1,839.98	$4,579.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.94 / $970.73 / $1,855.00	Professional		$490.94	$970.73	$1,855.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,831.58 / $6,928.83 / $6,928.83	Facility		$1,831.58	$6,928.83	$6,928.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.59 / $1,199.19 / $1,393.85	Facility		$792.59	$1,199.19	$1,393.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.61 / $1,054.57 / $59,999.40	Professional		$1,024.61	$1,054.57	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.22 / $1,219.53 / $3,610.96	Facility		$766.22	$1,219.53	$3,610.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $504.13 / $730.05 / $2,389.04	Professional		$504.13	$730.05	$2,389.04
United Facility/Professional Professional Modifier Low / Median / High Price $411.56 / $429.18 / $944.22	Professional		$411.56	$429.18	$944.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,295.00	Professional		$1,000.00	$1,000.00	$1,295.00