Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $241.56 / $1,513.48	Facility		$224.00	$241.56	$1,513.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $235.16 / $248.64	Professional		$164.42	$235.16	$248.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.04 / $418.35 / $834.71	Facility		$166.04	$418.35	$834.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.54 / $218.54 / $218.54	Professional		$218.54	$218.54	$218.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Facility		$219.62	$219.62	$219.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $219.62 / $219.62	Professional		$173.00	$219.62	$219.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $212.80 / $448.00 / $815.59	Facility		$212.80	$448.00	$815.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $166.00 / $336.28	Facility		$119.42	$166.00	$336.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $155.28 / $155.28 / $164.42	Professional		$155.28	$155.28	$164.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.01 / $219.62 / $336.28	Facility		$148.01	$219.62	$336.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $219.62 / $219.62	Professional		$164.42	$219.62	$219.62
United Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $194.02 / $235.16	Professional		$156.19	$194.02	$235.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $185.00 / $221.97	Professional		$164.42	$185.00	$221.97