Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.36 / $589.83 / $2,163.65	Facility		$479.36	$589.83	$2,163.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $589.83 / $611.41	Professional		$575.44	$589.83	$611.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $1,511.06 / $3,014.95	Facility		$597.02	$1,511.06	$3,014.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Facility		$611.41	$611.41	$611.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.94 / $3,219.63 / $3,337.02	Facility		$1,023.94	$3,219.63	$3,337.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,503.62 / $3,503.62 / $5,821.50	Professional		$3,503.62	$3,503.62	$5,821.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $589.83 / $719.30 / $1,283.58	Facility		$589.83	$719.30	$1,283.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $434.36 / $434.36 / $434.36	Professional		$434.36	$434.36	$434.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $719.30 / $971.06	Facility		$597.02	$719.30	$971.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $683.34	Professional		$683.34	$683.34	$683.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $168.08 / $605.41	Professional		$124.50	$168.08	$605.41