Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $165.20 / $228.96	Facility		$104.73	$165.20	$228.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $105.78 / $146.88	Professional		$104.73	$105.78	$146.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.70 / $226.04 / $448.50	Facility		$89.70	$226.04	$448.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.96 / $106.96 / $106.96	Professional		$106.96	$106.96	$106.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $104.73	Facility		$98.80	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $513.17 / $523.65	Facility		$133.68	$513.17	$523.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $149.76 / $154.25	Facility		$104.95	$149.76	$154.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $104.73 / $189.97	Professional		$78.70	$104.73	$189.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $151.27	Facility		$98.80	$104.73	$151.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $104.73 / $182.32	Professional		$99.04	$104.73	$182.32
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $100.73 / $141.38	Professional		$100.73	$100.73	$141.38