Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.82 / $217.82 / $241.43	Facility		$217.82	$217.82	$241.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.71 / $241.43 / $268.45	Professional		$206.71	$241.43	$268.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.65 / $1,029.00 / $1,029.00	Professional		$874.65	$1,029.00	$1,029.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $487.38 / $1,517.75 / $1,517.75	Facility		$487.38	$1,517.75	$1,517.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.46 / $1,733.46 / $2,412.67	Professional		$1,733.46	$1,733.46	$2,412.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $233.19 / $308.41 / $517.89	Facility		$233.19	$308.41	$517.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.76 / $266.76 / $266.76	Professional		$266.76	$266.76	$266.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $236.03 / $312.91 / $517.89	Facility		$236.03	$312.91	$517.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.76 / $356.73 / $445.38	Professional		$266.76	$356.73	$445.38
United Facility/Professional Professional Modifier Low / Median / High Price $553.00 / $553.00 / $845.00	Professional		$553.00	$553.00	$845.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $426.00 / $575.10	Professional		$426.00	$426.00	$575.10