Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $358.93 / $461.76	Facility		$206.59	$358.93	$461.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $208.65 / $289.17	Professional		$206.59	$208.65	$289.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.43 / $400.99 / $800.07	Facility		$158.43	$400.99	$800.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.78 / $194.78 / $194.78	Professional		$194.78	$194.78	$194.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $206.59 / $206.59	Facility		$194.90	$206.59	$206.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $268.13 / $1,012.29 / $1,032.95	Facility		$268.13	$1,012.29	$1,032.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.62 / $295.42 / $304.29	Facility		$206.62	$295.42	$304.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $206.59 / $374.65	Professional		$154.97	$206.59	$374.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $206.59 / $298.37	Facility		$194.90	$206.59	$298.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.33 / $206.59 / $364.97	Professional		$195.33	$206.59	$364.97
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $201.64 / $278.89	Professional		$201.64	$201.64	$278.89