Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.68 / $300.00 / $632.19	Facility		$292.68	$300.00	$632.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.68 / $300.00 / $310.97	Professional		$292.68	$300.00	$310.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.31 / $307.31 / $307.31	Professional		$307.31	$307.31	$307.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $541.36 / $895.60 / $1,371.94	Facility		$541.36	$895.60	$1,371.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.23 / $1,390.23 / $1,646.33	Professional		$1,390.23	$1,390.23	$1,646.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $303.66 / $365.85 / $652.87	Facility		$303.66	$365.85	$652.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.39 / $274.39 / $395.54	Professional		$274.39	$274.39	$395.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $365.85 / $548.78	Facility		$310.97	$365.85	$548.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Professional		$310.97	$310.97	$310.97
United Facility/Professional Professional Modifier Low / Median / High Price $304.88 / $304.88 / $308.83	Professional		$304.88	$304.88	$308.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $62.87 / $304.88	Professional		$46.57	$62.87	$304.88