Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $766.77 / $1,795.37	Facility		$748.07	$766.77	$1,795.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $766.77 / $794.83	Professional		$748.07	$766.77	$794.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.39 / $1,744.85 / $3,481.42	Facility		$689.39	$1,744.85	$3,481.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Facility		$794.83	$794.83	$794.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $888.34 / $3,853.40 / $3,853.40	Facility		$888.34	$3,853.40	$3,853.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $748.07 / $1,069.74 / $1,270.33	Facility		$748.07	$1,069.74	$1,270.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $701.32 / $701.32 / $701.32	Professional		$701.32	$701.32	$701.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $766.77 / $794.83 / $1,096.48	Facility		$766.77	$794.83	$1,096.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $794.83 / $794.83 / $794.83	Professional		$794.83	$794.83	$794.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $749.27 / $749.27 / $1,011.51	Professional		$749.27	$749.27	$1,011.51