Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.08 / $3,826.60 / $8,612.78	Facility		$543.08	$3,826.60	$8,612.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.62 / $543.08 / $543.08	Professional		$461.62	$543.08	$543.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.34 / $960.11 / $1,892.91	Facility		$379.34	$960.11	$1,892.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.14 / $466.14 / $466.14	Professional		$466.14	$466.14	$466.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Facility		$506.88	$506.88	$506.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $506.88 / $506.88	Professional		$506.88	$506.88	$506.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $619.11 / $1,918.88 / $2,036.55	Facility		$619.11	$1,918.88	$2,036.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $479.72 / $776.60	Facility		$74.86	$479.72	$776.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $143.97 / $143.97	Professional		$143.97	$143.97	$143.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.26 / $506.88 / $776.60	Facility		$193.26	$506.88	$776.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $499.86 / $506.88 / $506.88	Professional		$499.86	$506.88	$506.88
United Facility/Professional Professional Modifier Low / Median / High Price $429.94 / $534.03 / $543.08	Professional		$429.94	$534.03	$543.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $452.57 / $610.97	Professional		$452.57	$452.57	$610.97