Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.14 / $770.36 / $1,050.58	Facility		$484.14	$770.36	$1,050.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $488.98 / $673.98	Professional		$484.14	$488.98	$673.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.55 / $449.55 / $449.55	Professional		$449.55	$449.55	$449.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $484.14 / $484.14	Facility		$456.73	$484.14	$484.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $624.84 / $2,372.29 / $2,420.69	Facility		$624.84	$2,372.29	$2,420.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.57 / $692.32 / $713.08	Facility		$481.57	$692.32	$713.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.18 / $484.14 / $877.72	Professional		$361.18	$484.14	$877.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $456.73 / $484.14 / $699.24	Facility		$456.73	$484.14	$699.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.59 / $484.14 / $850.21	Professional		$457.59	$484.14	$850.21
United Facility/Professional Professional Modifier Low / Median / High Price $484.14 / $484.14 / $484.14	Professional		$484.14	$484.14	$484.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.73 / $469.73 / $653.59	Professional		$469.73	$469.73	$653.59