Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.50 / $176.56 / $211.87	Facility		$169.50	$176.56	$211.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.50 / $176.56	Professional		$141.25	$169.50	$176.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $131.94 / $131.94	Professional		$131.94	$131.94	$131.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $151.01 / $230.49 / $230.49	Facility		$151.01	$230.49	$230.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.96 / $176.56 / $252.48	Facility		$158.96	$176.56	$252.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $242.39	Facility		$148.50	$148.50	$242.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
United Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $187.57 / $187.57	Professional		$151.01	$187.57	$187.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $191.70	Professional		$142.00	$142.00	$191.70