Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.33 / $212.00 / $213.08	Facility		$202.33	$212.00	$213.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $212.00 / $261.29	Professional		$180.20	$212.00	$261.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.56 / $274.77 / $561.16	Facility		$108.56	$274.77	$561.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $203.81 / $203.81	Professional		$177.00	$203.81	$203.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $288.08 / $616.95 / $735.08	Facility		$288.08	$616.95	$735.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.69 / $175.60 / $303.16	Facility		$120.69	$175.60	$303.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $98.12 / $98.12	Professional		$98.12	$98.12	$98.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $203.81 / $303.16	Facility		$141.25	$203.81	$303.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $203.81 / $203.81	Professional		$140.25	$203.81	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $214.72 / $218.36	Professional		$172.87	$214.72	$218.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.21 / $160.21 / $216.28	Professional		$160.21	$160.21	$216.28