Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.99 / $412.99 / $412.99	Professional		$412.99	$412.99	$412.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $15.57 / $15.57	Professional		$15.57	$15.57	$15.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $296.00	Professional		$251.60	$251.60	$296.00
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 $412.99 / $412.99 / $429.68	Facility		$412.99	$412.99	$429.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $269.52 / $269.52	Professional		$269.52	$269.52	$269.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $412.99 / $429.68	Facility		$296.00	$412.99	$429.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $296.00	Professional		$251.60	$251.60	$296.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $357.47 / $357.47	Professional		$357.47	$357.47	$357.47