Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.30 / $261.68 / $271.14	Facility		$260.30	$261.68	$271.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.92 / $260.30 / $300.98	Professional		$216.92	$260.30	$300.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.67 / $538.27 / $1,073.98	Facility		$212.67	$538.27	$1,073.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $622.16 / $754.02	Facility		$266.02	$622.16	$754.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $260.30 / $387.74	Facility		$139.12	$260.30	$387.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $125.63 / $125.63	Professional		$125.63	$125.63	$125.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $372.23	Facility		$238.19	$238.19	$372.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $238.19 / $238.19	Professional		$179.56	$238.19	$238.19
United Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $258.48 / $258.48	Professional		$208.10	$258.48	$258.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $157.01 / $187.08 / $211.96	Professional		$157.01	$187.08	$211.96