Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.61 / $153.99 / $176.12	Facility		$123.61	$153.99	$176.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $176.12 / $215.06	Professional		$123.61	$176.12	$215.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $95.30 / $95.30	Professional		$81.00	$95.30	$95.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $460.10 / $1,267.32 / $1,313.52	Facility		$460.10	$1,267.32	$1,313.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.10 / $232.26 / $295.61	Facility		$156.10	$232.26	$295.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.86 / $218.86 / $244.51	Professional		$218.86	$218.86	$244.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $232.26 / $301.64	Facility		$162.88	$232.26	$301.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $218.86 / $280.50	Professional		$191.36	$218.86	$280.50
United Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $231.60 / $317.07	Professional		$162.44	$231.60	$317.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $342.37	Professional		$70.00	$70.00	$342.37