Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.96 / $287.14 / $407.64	Professional		$225.96	$287.14	$407.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $40.31 / $40.31	Professional		$40.31	$40.31	$40.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.68 / $354.68 / $491.25	Professional		$354.68	$354.68	$491.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $828.95 / $2,283.28 / $2,366.55	Facility		$828.95	$2,283.28	$2,366.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $277.12 / $468.58	Facility		$182.43	$277.12	$468.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $182.43 / $622.83	Professional		$182.43	$182.43	$622.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.43 / $247.27 / $466.44	Facility		$182.43	$247.27	$466.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.43 / $354.68 / $354.68	Professional		$182.43	$354.68	$354.68
United Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $277.13 / $453.24	Professional		$232.78	$277.13	$453.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.77 / $416.80 / $416.80	Professional		$416.77	$416.80	$416.80