Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.80 / $349.80 / $396.00	Facility		$349.80	$349.80	$396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $349.80 / $349.80	Professional		$297.33	$349.80	$349.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.25 / $512.54 / $1,136.25	Facility		$254.25	$512.54	$1,136.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $321.75 / $321.75	Professional		$321.75	$321.75	$321.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Facility		$326.48	$326.48	$326.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $313.50 / $660.00 / $1,237.50	Facility		$313.50	$660.00	$1,237.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $349.80 / $500.21	Facility		$330.00	$349.80	$500.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.00 / $326.48 / $500.21	Facility		$275.00	$326.48	$500.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
United Facility/Professional Professional Modifier Low / Median / High Price $285.24 / $354.30 / $354.30	Professional		$285.24	$354.30	$354.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $280.50 / $378.68	Professional		$280.50	$280.50	$378.68