Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.18 / $953.11 / $1,103.86	Facility		$744.18	$953.11	$1,103.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.86 / $880.68 / $1,103.86	Professional		$601.86	$880.68	$1,103.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.96 / $233.25 / $491.92	Facility		$92.96	$233.25	$491.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $89.41 / $89.41	Professional		$89.41	$89.41	$89.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $845.38 / $845.38	Facility		$845.38	$845.38	$845.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $718.57 / $845.38	Professional		$718.57	$718.57	$845.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $5,143.63 / $5,331.16	Facility		$80.00	$5,143.63	$5,331.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,990.22 / $4,990.22 / $8,220.23	Professional		$4,990.22	$4,990.22	$8,220.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.54 / $240.88 / $1,188.33	Facility		$102.54	$240.88	$1,188.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $195.85 / $966.70	Professional		$94.34	$195.85	$966.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $232.66 / $1,148.67	Facility		$96.67	$232.66	$1,148.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $718.57 / $845.38	Professional		$104.19	$718.57	$845.38
United Facility/Professional Professional Modifier Low / Median / High Price $54.69 / $84.86 / $214.82	Professional		$54.69	$84.86	$214.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $496.02 / $806.67 / $1,089.00	Professional		$496.02	$806.67	$1,089.00