Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.48 / $764.84 / $1,059.86	Professional		$587.48	$764.84	$1,059.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $115.40 / $115.40	Professional		$115.40	$115.40	$115.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $360.90 / $360.90	Facility		$360.90	$360.90	$360.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $360.90 / $360.90	Professional		$306.77	$360.90	$360.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,155.27 / $5,936.57 / $6,153.01	Facility		$2,155.27	$5,936.57	$6,153.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $474.33 / $720.50 / $1,218.32	Facility		$474.33	$720.50	$1,218.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $474.33 / $474.33 / $1,562.59	Professional		$474.33	$474.33	$1,562.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $360.90 / $474.33 / $1,132.34	Facility		$360.90	$474.33	$1,132.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $360.90 / $371.73	Professional		$306.77	$360.90	$371.73
United Facility/Professional Professional Modifier Low / Median / High Price $605.23 / $720.53 / $1,178.41	Professional		$605.23	$720.53	$1,178.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.70 / $676.70 / $961.00	Professional		$676.70	$676.70	$961.00