Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.52 / $1,981.28 / $6,301.19	Facility		$678.52	$1,981.28	$6,301.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.65 / $778.93 / $1,289.90	Professional		$653.65	$778.93	$1,289.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $35.84 / $89.60	Professional		$35.84	$35.84	$89.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.94 / $1,945.32 / $4,786.87	Facility		$544.94	$1,945.32	$4,786.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.94 / $777.13 / $1,693.30	Professional		$505.94	$777.13	$1,693.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,904.79 / $7,207.17 / $7,207.17	Facility		$1,904.79	$7,207.17	$7,207.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $824.28 / $1,268.35 / $1,443.82	Facility		$824.28	$1,268.35	$1,443.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.58 / $2,095.92 / $59,999.40	Professional		$1,065.58	$2,095.92	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $797.06 / $1,268.35 / $3,969.60	Facility		$797.06	$1,268.35	$3,969.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $510.67 / $560.72 / $2,484.69	Professional		$510.67	$560.72	$2,484.69
United Facility/Professional Professional Modifier Low / Median / High Price $428.06 / $446.32 / $982.16	Professional		$428.06	$446.32	$982.16
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