Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.60 / $876.67 / $1,019.94	Facility		$687.60	$876.67	$1,019.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.95 / $816.47 / $1,019.94	Professional		$555.95	$816.47	$1,019.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.24 / $82.24 / $95.22	Professional		$82.24	$82.24	$95.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.80 / $1,017.80 / $1,017.80	Facility		$1,017.80	$1,017.80	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.70 / $4,832.10 / $5,008.26	Facility		$1,491.70	$4,832.10	$5,008.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,687.97 / $4,687.97 / $7,722.38	Professional		$4,687.97	$4,687.97	$7,722.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.58 / $220.45 / $1,115.05	Facility		$95.58	$220.45	$1,115.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.93 / $178.24 / $896.80	Professional		$87.93	$178.24	$896.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.68 / $205.92 / $1,084.83	Facility		$89.68	$205.92	$1,084.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $750.60 / $750.60	Professional		$79.45	$750.60	$750.60
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $77.62 / $207.97	Professional		$50.71	$77.62	$207.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $700.20 / $945.27	Professional		$700.20	$700.20	$945.27