Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $230.30	Facility		$191.92	$191.92	$230.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $191.92	Professional		$191.91	$191.92	$191.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $152.10 / $152.10	Professional		$152.10	$152.10	$152.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Facility		$188.55	$188.55	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $175.25 / $340.08 / $585.00	Facility		$175.25	$340.08	$585.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.54 / $191.92 / $274.45	Facility		$161.54	$191.92	$274.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $191.92 / $191.92	Professional		$181.26	$191.92	$191.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $274.45	Facility		$188.55	$188.55	$274.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $191.92	Professional		$188.55	$188.55	$191.92
United Facility/Professional Professional Modifier Low / Median / High Price $159.93 / $198.65 / $202.02	Professional		$159.93	$198.65	$202.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $133.38 / $259.08	Professional		$133.38	$133.38	$259.08