Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.92 / $599.19 / $1,154.89	Facility		$526.92	$599.19	$1,154.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $551.76 / $857.59	Professional		$546.29	$551.76	$857.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.49 / $1,222.46 / $2,552.34	Facility		$511.49	$1,222.46	$2,552.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.49 / $511.49 / $511.49	Professional		$511.49	$511.49	$511.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $546.29 / $546.29	Facility		$515.37	$546.29	$546.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,037.23 / $3,331.25 / $3,331.25	Facility		$1,037.23	$3,331.25	$3,331.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $529.38 / $781.19 / $812.45	Facility		$529.38	$781.19	$812.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.04 / $544.99 / $990.29	Professional		$397.04	$544.99	$990.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $546.29 / $804.03	Facility		$515.37	$546.29	$804.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $516.28 / $546.29 / $592.67	Professional		$516.28	$546.29	$592.67
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $301.10 / $301.10 / $737.49	Professional		$301.10	$301.10	$737.49