Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $398.11 / $524.81	Facility		$128.82	$398.11	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $446.68	Professional		$363.08	$398.11	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $371.54 / $724.44	Facility		$144.54	$371.54	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $398.11	Professional		$239.88	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $234.42 / $457.09	Facility		$46.77	$234.42	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $346.74	Professional		$281.84	$338.84	$346.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $398.11 / $436.52	Facility		$380.19	$398.11	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $457.09	Professional		$363.08	$398.11	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $398.11 / $575.44	Facility		$54.95	$398.11	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.84 / $2,398,832.92	Professional		$79.43	$338.84	$2,398,832.92
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $295.12 / $398.11	Facility		$257.04	$295.12	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $346.74 / $398.11	Professional		$173.78	$346.74	$398.11