Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $243.23 / $311.17	Facility		$141.60	$243.23	$311.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $143.02 / $197.34	Professional		$141.60	$143.02	$197.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.85 / $267.91 / $508.08	Facility		$105.85	$267.91	$508.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $132.72 / $132.72	Professional		$132.72	$132.72	$132.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $141.60	Facility		$133.59	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.65 / $693.84 / $708.00	Facility		$181.65	$693.84	$708.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.55 / $143.02 / $208.57	Facility		$130.55	$143.02	$208.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.75 / $141.60 / $256.81	Professional		$105.75	$141.60	$256.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.55 / $141.60 / $204.52	Facility		$130.55	$141.60	$204.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $141.60 / $245.94	Professional		$133.88	$141.60	$245.94
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.88 / $135.88 / $191.16	Professional		$135.88	$135.88	$191.16