Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.78 / $678.78 / $678.78	Professional		$678.78	$678.78	$678.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $77.45 / $77.45	Professional		$77.45	$77.45	$77.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.83 / $536.83 / $536.83	Facility		$536.83	$536.83	$536.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $536.83 / $536.83	Professional		$456.31	$536.83	$536.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $3,511.34	Facility		$65.00	$100.00	$3,511.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $678.78 / $678.78 / $1,144.44	Facility		$678.78	$678.78	$1,144.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.01 / $3,579.84 / $3,579.84	Professional		$535.01	$3,579.84	$3,579.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $536.83 / $678.78 / $754.59	Facility		$536.83	$678.78	$754.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.31 / $536.83 / $536.83	Professional		$456.31	$536.83	$536.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,031.90 / $1,051.47 / $1,051.47	Professional		$1,031.90	$1,051.47	$1,051.47