Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.84 / $199.80 / $223.42	Facility		$141.84	$199.80	$223.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $198.91 / $245.89	Professional		$147.74	$198.91	$245.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $120.49 / $120.49	Professional		$120.49	$120.49	$120.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.34 / $189.34 / $306.08	Facility		$189.34	$189.34	$306.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $527.58 / $1,453.18 / $1,506.13	Facility		$527.58	$1,453.18	$1,506.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.81 / $1,409.81 / $2,322.38	Professional		$1,409.81	$1,409.81	$2,322.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.13 / $275.20 / $466.13	Facility		$189.13	$275.20	$466.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.45 / $261.45 / $275.20	Professional		$261.45	$261.45	$275.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.91 / $275.20 / $443.14	Facility		$190.91	$275.20	$443.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
United Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $144.59 / $240.98	Professional		$120.49	$144.59	$240.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $506.25	Professional		$375.00	$375.00	$506.25