Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.50 / $184.68 / $271.22	Facility		$177.50	$184.68	$271.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $184.68 / $197.79	Professional		$156.97	$184.68	$197.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $166.21 / $328.35	Facility		$65.67	$166.21	$328.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $84.98 / $84.98	Professional		$84.98	$84.98	$84.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $172.37 / $172.37	Professional		$55.00	$172.37	$172.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $200.50 / $351.76 / $628.16	Facility		$200.50	$351.76	$628.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $123.68 / $264.08	Facility		$57.29	$123.68	$264.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $42.79 / $42.79	Professional		$42.79	$42.79	$42.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $172.37 / $264.08	Facility		$73.31	$172.37	$264.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $172.37 / $172.37	Professional		$55.00	$172.37	$172.37
United Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $181.60 / $181.60	Professional		$146.21	$181.60	$181.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.60 / $135.60 / $183.06	Professional		$135.60	$135.60	$183.06