Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $676.08	Facility		$229.09	$309.03	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $338.84	Professional		$251.19	$309.03	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $158.49 / $295.12	Facility		$58.88	$158.49	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $263.03	Professional		$158.49	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $83.18 / $338.84	Facility		$41.69	$83.18	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $363.08	Professional		$251.19	$316.23	$363.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $309.03 / $331.13	Facility		$281.84	$309.03	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $398.11	Professional		$239.88	$309.03	$398.11
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 $48.98 / $204.17 / $338.84	Facility		$48.98	$204.17	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $363.08 / $2,398,832.92	Professional		$79.43	$363.08	$2,398,832.92
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $363.08	Facility		$79.43	$91.20	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $707.95	Professional		$173.78	$302.00	$707.95