Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.42 / $396.59 / $504.50	Facility		$331.42	$396.59	$504.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $403.43 / $487.30	Professional		$331.42	$403.43	$487.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.83 / $971.11 / $1,798.35	Facility		$402.83	$971.11	$1,798.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.37 / $263.95 / $263.95	Professional		$224.37	$263.95	$263.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.61 / $430.61 / $430.61	Facility		$430.61	$430.61	$430.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.70 / $474.73 / $633.66	Professional		$367.70	$474.73	$633.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $886.48 / $1,936.16 / $2,215.44	Facility		$886.48	$1,936.16	$2,215.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,572.63 / $5,676.00 / $5,676.00	Professional		$3,572.63	$5,676.00	$5,676.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $403.43 / $593.30 / $900.30	Facility		$403.43	$593.30	$900.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.05 / $398.05 / $398.05	Professional		$398.05	$398.05	$398.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.43 / $597.90 / $900.30	Facility		$403.43	$597.90	$900.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.66 / $486.92 / $633.66	Professional		$396.66	$486.92	$633.66
United Facility/Professional Professional Modifier Low / Median / High Price $374.25 / $462.30 / $748.49	Professional		$374.25	$462.30	$748.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $444.85 / $444.85 / $600.54	Professional		$444.85	$444.85	$600.54