Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $512.86 / $831.76	Facility		$52.48	$512.86	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $691.83	Professional		$416.87	$416.87	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $263.03 / $478.63	Facility		$173.78	$263.03	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $562.34 / $1,445.44	Facility		$512.86	$562.34	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $562.34	Professional		$512.86	$512.86	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $512.86 / $1,122.02	Facility		$229.09	$512.86	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $851.14	Professional		$60.26	$79.43	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $354.81	Facility		$257.04	$269.15	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11