Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,754.23 / $2,754.23	Facility		$758.58	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $933.25	Professional		$741.31	$758.58	$933.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.76 / $1.91 / $3.55	Facility		$0.76	$1.91	$3.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $2,754.23	Facility		$741.31	$1,071.52	$2,754.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $933.25	Professional		$676.08	$758.58	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $2,511.89	Facility		$758.58	$933.25	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $501.19	Facility		$457.09	$457.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01