Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $287.48 / $413.96	Facility		$189.75	$287.48	$413.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $195.70 / $260.64	Professional		$193.76	$195.70	$260.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $398.41 / $785.93	Facility		$155.63	$398.41	$785.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.60 / $184.60 / $184.60	Professional		$184.60	$184.60	$184.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $193.76 / $193.76	Facility		$182.79	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $247.82 / $949.42 / $968.80	Facility		$247.82	$949.42	$968.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $277.08 / $285.39	Facility		$189.75	$277.08	$285.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.31 / $193.76 / $351.20	Professional		$142.31	$193.76	$351.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $193.76 / $279.85	Facility		$182.79	$193.76	$279.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.10 / $193.76 / $337.22	Professional		$183.10	$193.76	$337.22
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $186.31 / $261.58	Professional		$186.31	$186.31	$261.58