Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $487.50 / $487.50	Professional		$487.50	$487.50	$487.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $424.00	Professional		$360.40	$424.00	$424.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,423.10 / $1,668.76	Facility		$100.00	$1,423.10	$1,668.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Facility		$574.00	$574.00	$574.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $574.00 / $574.00	Professional		$574.00	$574.00	$574.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $574.00 / $574.00	Facility		$424.00	$574.00	$574.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $436.72	Professional		$360.40	$424.00	$436.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $292.00 / $292.00	Professional		$292.00	$292.00	$292.00