Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $180.72 / $246.00	Facility		$102.94	$180.72	$246.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $103.96 / $139.40	Professional		$102.94	$103.96	$139.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.71 / $340.95 / $680.29	Facility		$134.71	$340.95	$680.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $164.80 / $164.80	Professional		$164.80	$164.80	$164.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $102.94 / $102.94	Facility		$97.11	$102.94	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $161.65 / $697.75 / $697.75	Facility		$161.65	$697.75	$697.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $147.19 / $153.08	Facility		$101.49	$147.19	$153.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $102.94 / $204.44	Professional		$76.12	$102.94	$204.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $102.94 / $148.66	Facility		$97.11	$102.94	$148.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $102.94 / $186.44	Professional		$97.20	$102.94	$186.44
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $112.95 / $138.97	Professional		$101.49	$112.95	$138.97