Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.68 / $482.03 / $669.30	Facility		$308.68	$482.03	$669.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $311.77 / $429.37	Professional		$308.68	$311.77	$429.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $575.27 / $1,086.45	Facility		$227.29	$575.27	$1,086.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.47 / $290.47 / $290.47	Professional		$290.47	$290.47	$290.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $308.68 / $308.68	Facility		$291.20	$308.68	$308.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $390.99 / $1,512.53 / $1,543.40	Facility		$390.99	$1,512.53	$1,543.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $441.41 / $454.65	Facility		$306.80	$441.41	$454.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.10 / $308.68 / $559.35	Professional		$230.10	$308.68	$559.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $308.68 / $445.83	Facility		$291.20	$308.68	$445.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.61 / $308.68 / $532.00	Professional		$291.61	$308.68	$532.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.68 / $308.68 / $308.68	Professional		$308.68	$308.68	$308.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.92 / $293.92 / $416.72	Professional		$293.92	$293.92	$416.72