Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.72 / $529.50 / $733.76	Professional		$406.72	$529.50	$733.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Professional		$480.00	$480.00	$480.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $81.41 / $81.41	Professional		$81.41	$81.41	$81.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $200.00	Professional		$170.00	$200.00	$200.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,459.14 / $4,109.93 / $4,259.80	Facility		$1,459.14	$4,109.93	$4,259.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $328.38 / $498.81 / $843.45	Facility		$328.38	$498.81	$843.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $328.38 / $328.38 / $1,204.58	Professional		$328.38	$328.38	$1,204.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $328.38 / $783.93	Facility		$200.00	$328.38	$783.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.00 / $206.00	Professional		$170.00	$200.00	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $498.83 / $815.82	Professional		$419.00	$498.83	$815.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $611.08 / $611.10 / $611.10	Professional		$611.08	$611.10	$611.10