Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $257.32	Facility		$212.00	$212.00	$257.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $212.00 / $229.10	Professional		$162.97	$212.00	$229.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.10 / $384.97 / $768.10	Facility		$152.10	$384.97	$768.10
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 $153.75 / $203.81 / $203.81	Facility		$153.75	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $203.81 / $203.81	Professional		$176.00	$203.81	$203.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $662.03 / $662.03	Facility		$299.86	$662.03	$662.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $212.00 / $303.16	Facility		$117.64	$212.00	$303.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.06 / $154.06 / $162.97	Professional		$154.06	$154.06	$162.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $203.81 / $252.90	Facility		$153.75	$203.81	$252.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $203.81 / $203.81	Professional		$162.97	$203.81	$203.81
United Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $192.32 / $218.36	Professional		$154.83	$192.32	$218.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $160.21 / $220.02	Professional		$156.16	$160.21	$220.02