Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.79 / $741.81 / $1,027.96	Professional		$569.79	$741.81	$1,027.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $66.63 / $66.63	Professional		$66.63	$66.63	$66.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $1,234.50	Professional		$894.40	$894.40	$1,234.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,090.37 / $5,757.82 / $5,967.71	Facility		$2,090.37	$5,757.82	$5,967.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $698.80 / $1,181.63	Facility		$460.08	$698.80	$1,181.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $460.08 / $1,562.59	Professional		$460.08	$460.08	$1,562.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $460.08 / $623.54 / $1,176.25	Facility		$460.08	$623.54	$1,176.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.08 / $894.40 / $894.40	Professional		$460.08	$894.40	$894.40
United Facility/Professional Professional Modifier Low / Median / High Price $587.00 / $698.83 / $1,142.99	Professional		$587.00	$698.83	$1,142.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,072.35 / $1,072.35 / $1,072.35	Professional		$1,072.35	$1,072.35	$1,072.35