Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $275.70 / $275.70	Professional		$275.70	$275.70	$275.70
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 $226.63 / $226.63 / $226.63	Facility		$226.63	$226.63	$226.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $226.63	Professional		$192.64	$192.64	$226.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.70 / $275.70 / $275.70	Facility		$275.70	$275.70	$275.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.31 / $260.31 / $260.31	Professional		$260.31	$260.31	$260.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $275.70 / $275.70	Facility		$226.63	$275.70	$275.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $192.64 / $226.63	Professional		$192.64	$192.64	$226.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $357.47 / $357.47	Professional		$357.47	$357.47	$357.47