Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.23 / $880.88 / $2,869.63	Facility		$755.23	$880.88	$2,869.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.88 / $755.23 / $918.77	Professional		$602.88	$755.23	$918.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.18 / $1,863.27 / $3,717.71	Facility		$736.18	$1,863.27	$3,717.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Facility		$876.07	$876.07	$876.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,047.30 / $5,844.83 / $5,844.83	Facility		$2,047.30	$5,844.83	$5,844.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,219.11 / $6,219.11 / $9,012.23	Professional		$6,219.11	$6,219.11	$9,012.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $778.46 / $886.96 / $1,663.48	Facility		$778.46	$886.96	$1,663.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $973.88 / $973.88 / $973.88	Professional		$973.88	$973.88	$973.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $839.77 / $886.96 / $1,313.84	Facility		$839.77	$886.96	$1,313.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $886.96	Professional		$886.96	$886.96	$886.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $402.79 / $543.77 / $753.92	Professional		$402.79	$543.77	$753.92