Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $749.42 / $2,749.09	Facility		$731.14	$749.42	$2,749.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $749.42 / $776.84	Professional		$731.14	$749.42	$776.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $165.27 / $326.02	Facility		$64.56	$165.27	$326.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $868.23 / $3,472.92 / $3,472.92	Facility		$868.23	$3,472.92	$3,472.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,472.93 / $3,472.93 / $4,112.68	Professional		$3,472.93	$3,472.93	$4,112.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $749.42 / $913.93 / $1,630.90	Facility		$749.42	$913.93	$1,630.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $913.93 / $1,241.57	Facility		$776.84	$913.93	$1,241.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $771.51	Professional		$761.61	$761.61	$771.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $868.23 / $1,172.10	Professional		$761.61	$868.23	$1,172.10