Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $616.60 / $851.14	Facility		$354.81	$616.60	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $446.68	Professional		$354.81	$354.81	$446.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $912.01 / $1,737.80	Facility		$354.81	$912.01	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $354.81 / $354.81	Facility		$331.13	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $724.44	Facility		$354.81	$354.81	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $389.05	Professional		$323.59	$354.81	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $346.74	Professional		$338.84	$338.84	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $501.19 / $1,122.02	Facility		$354.81	$501.19	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $354.81 / $354.81	Facility		$288.40	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81