Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,630.27 / $2,630.27	Facility		$691.83	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $707.95 / $812.83	Professional		$691.83	$707.95	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,348.96 / $2,691.53	Facility		$181.97	$1,348.96	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $2,630.27	Facility		$691.83	$870.96	$2,630.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $707.95 / $741.31	Professional		$676.08	$707.95	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,290.87	Facility		$707.95	$870.96	$2,290.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $144.54	Professional		$70.79	$85.11	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54