Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.69 / $189.69 / $227.63	Facility		$189.69	$189.69	$227.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $189.69 / $189.69	Professional		$134.19	$189.69	$189.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.71 / $325.77 / $649.99	Facility		$128.71	$325.77	$649.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $182.40 / $182.40	Professional		$182.40	$182.40	$182.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $177.04 / $177.04	Facility		$126.60	$177.04	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $190.51 / $751.40 / $975.00	Facility		$190.51	$751.40	$975.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $155.97 / $271.26	Facility		$115.27	$155.97	$271.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $126.85 / $134.19	Professional		$126.85	$126.85	$134.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $177.04 / $271.26	Facility		$126.60	$177.04	$271.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $177.04 / $177.04	Professional		$134.19	$177.04	$177.04
United Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $158.34 / $195.02	Professional		$127.48	$158.34	$195.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $146.31 / $181.16	Professional		$130.66	$146.31	$181.16