Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.77 / $282.19 / $426.70	Facility		$204.77	$282.19	$426.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.86 / $282.19 / $331.25	Professional		$239.86	$282.19	$331.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.78 / $291.45 / $568.28	Facility		$114.78	$291.45	$568.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $138.24 / $138.24	Professional		$138.24	$138.24	$138.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Facility		$263.38	$263.38	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $263.38 / $263.38	Professional		$24.00	$263.38	$263.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $306.39 / $537.52 / $924.60	Facility		$306.39	$537.52	$924.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $268.76 / $403.53	Facility		$64.84	$268.76	$403.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.55 / $263.38 / $403.53	Facility		$79.55	$263.38	$403.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $263.38 / $263.38	Professional		$66.64	$263.38	$263.38
United Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $277.49 / $282.19	Professional		$223.40	$277.49	$282.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $199.60 / $269.45	Professional		$199.60	$199.60	$269.45