Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.84 / $198.45 / $252.46	Facility		$165.84	$198.45	$252.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.84 / $201.88 / $243.84	Professional		$165.84	$201.88	$243.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $480.68 / $890.15	Facility		$199.39	$480.68	$890.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.06 / $130.66 / $130.66	Professional		$111.06	$130.66	$130.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.35 / $215.35 / $215.35	Facility		$215.35	$215.35	$215.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.01 / $237.71 / $317.08	Professional		$184.01	$237.71	$317.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $443.56 / $968.85 / $1,108.65	Facility		$443.56	$968.85	$1,108.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.70 / $2,805.00 / $2,805.00	Professional		$1,787.70	$2,805.00	$2,805.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $296.63 / $450.52	Facility		$201.88	$296.63	$450.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.18 / $199.18 / $199.18	Professional		$199.18	$199.18	$199.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.88 / $298.89 / $450.52	Facility		$201.88	$298.89	$450.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.56 / $243.79 / $317.08	Professional		$198.56	$243.79	$317.08
United Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $231.54 / $374.87	Professional		$176.41	$231.54	$374.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $222.65 / $300.58	Professional		$222.65	$222.65	$300.58