Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $198.36 / $422.26	Facility		$175.94	$198.36	$422.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $180.33 / $243.80	Professional		$175.94	$180.33	$243.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $436.16 / $916.30	Facility		$183.26	$436.16	$916.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Professional		$188.76	$188.76	$188.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Facility		$186.93	$186.93	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $219.92 / $571.20 / $824.70	Facility		$219.92	$571.20	$824.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $180.33 / $257.87	Facility		$2.95	$180.33	$257.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $20.52 / $164.94	Professional		$10.70	$20.52	$164.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $186.93 / $257.87	Facility		$6.75	$186.93	$257.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $186.93 / $186.93	Professional		$16.98	$186.93	$186.93
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $247.40	Professional		$183.26	$183.26	$247.40