Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.70 / $393.76 / $405.94	Facility		$389.70	$393.76	$405.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $401.88 / $438.42	Professional		$296.33	$401.88	$438.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.73 / $324.73 / $324.73	Professional		$324.73	$324.73	$324.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $208.25 / $208.25	Professional		$208.25	$208.25	$208.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $778.85 / $2,169.65 / $2,202.10	Facility		$778.85	$2,169.65	$2,202.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.77 / $389.70 / $563.08	Facility		$122.77	$389.70	$563.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $233.31 / $463.60	Professional		$184.14	$233.31	$463.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.23 / $392.40 / $574.69	Facility		$122.23	$392.40	$574.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $208.25 / $422.75	Professional		$184.14	$208.25	$422.75
United Facility/Professional Professional Modifier Low / Median / High Price $275.11 / $346.92 / $470.44	Professional		$275.11	$346.92	$470.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.16 / $226.16 / $625.86	Professional		$226.16	$226.16	$625.86