Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $555.78 / $755.27	Facility		$346.11	$555.78	$755.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.57 / $484.52	Professional		$346.11	$349.57	$484.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.54 / $894.81 / $1,785.38	Facility		$353.54	$894.81	$1,785.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.95 / $362.30 / $362.30	Professional		$307.95	$362.30	$362.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $346.11 / $346.11	Facility		$326.52	$346.11	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $452.26 / $1,699.95 / $1,730.55	Facility		$452.26	$1,699.95	$1,730.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.19 / $494.94 / $509.78	Facility		$346.19	$494.94	$509.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $346.11 / $627.35	Professional		$259.64	$346.11	$627.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $346.11 / $499.89	Facility		$326.52	$346.11	$499.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $327.07 / $346.11 / $613.39	Professional		$327.07	$346.11	$613.39
United Facility/Professional Facility Modifier Low / Median / High Price $339.99 / $346.11 / $346.11	Facility		$339.99	$346.11	$346.11
United Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.89 / $338.89 / $467.25	Professional		$338.89	$338.89	$467.25