Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $247.40 / $247.40	Professional		$247.40	$247.40	$247.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $170.83 / $170.83	Professional		$145.21	$170.83	$170.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $247.40 / $247.40 / $258.39	Facility		$247.40	$247.40	$258.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Professional		$243.71	$243.71	$243.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $247.40 / $257.39	Facility		$170.83	$247.40	$257.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $170.83 / $170.83	Professional		$145.21	$170.83	$170.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $357.47 / $357.47	Professional		$357.47	$357.47	$357.47