Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.54 / $125.40 / $266.93	Facility		$112.54	$125.40	$266.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $115.36 / $154.12	Professional		$112.54	$115.36	$154.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $228.10 / $449.95	Facility		$89.64	$228.10	$449.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $132.07 / $589.76 / $601.79	Facility		$132.07	$589.76	$601.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $139.02 / $164.96	Facility		$115.36	$139.02	$164.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $104.27 / $104.27	Professional		$104.27	$104.27	$104.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $119.58 / $164.96	Facility		$115.36	$119.58	$164.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $110.86 / $149.66	Professional		$110.86	$110.86	$149.66