Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.49 / $113.96 / $130.34	Facility		$91.49	$113.96	$130.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $130.34 / $159.16	Professional		$91.49	$130.34	$159.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.89 / $61.05 / $61.05	Professional		$51.89	$61.05	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $340.58 / $938.08 / $972.33	Facility		$340.58	$938.08	$972.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.52 / $171.89 / $218.78	Facility		$115.52	$171.89	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.01 / $162.01 / $180.95	Professional		$162.01	$162.01	$180.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.55 / $171.89 / $223.24	Facility		$120.55	$171.89	$223.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $162.01 / $185.87	Professional		$141.60	$162.01	$185.87
United Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $152.63 / $215.06	Professional		$104.06	$152.63	$215.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $253.40	Professional		$70.00	$70.00	$253.40