Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.80 / $219.06 / $225.83	Facility		$216.80	$219.06	$225.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $223.57 / $243.90	Professional		$164.86	$223.57	$243.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.65 / $180.65 / $180.65	Professional		$180.65	$180.65	$180.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $433.27 / $1,206.97 / $1,225.03	Facility		$433.27	$1,206.97	$1,225.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.66 / $216.80 / $313.26	Facility		$103.66	$216.80	$313.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $129.91 / $257.89	Professional		$102.44	$129.91	$257.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.17 / $218.00 / $319.70	Facility		$103.17	$218.00	$319.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $119.00 / $235.06	Professional		$102.44	$119.00	$235.06
United Facility/Professional Professional Modifier Low / Median / High Price $153.05 / $198.26 / $290.70	Professional		$153.05	$198.26	$290.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $257.89 / $348.17	Professional		$257.89	$257.89	$348.17