Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.78 / $191.56 / $219.10	Facility		$153.78	$191.56	$219.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $219.10 / $267.55	Professional		$153.78	$219.10	$267.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $103.86 / $103.86	Professional		$88.28	$103.86	$103.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $238.10 / $238.10	Professional		$238.10	$238.10	$238.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $572.55 / $1,577.08 / $1,634.57	Facility		$572.55	$1,577.08	$1,634.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.18 / $288.95 / $367.74	Facility		$194.18	$288.95	$367.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $272.36 / $304.17	Professional		$272.36	$272.36	$304.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.63 / $288.95 / $375.25	Facility		$202.63	$288.95	$375.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $272.36 / $315.45	Professional		$238.10	$272.36	$315.45
United Facility/Professional Professional Modifier Low / Median / High Price $177.05 / $259.67 / $354.09	Professional		$177.05	$259.67	$354.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $425.94	Professional		$70.00	$70.00	$425.94