Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $880.05 / $1,133.36	Facility		$508.96	$880.05	$1,133.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $514.04 / $727.09	Professional		$508.96	$514.04	$727.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $427.51 / $1,082.03 / $2,158.92	Facility		$427.51	$1,082.03	$2,158.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.02 / $519.02 / $519.02	Professional		$519.02	$519.02	$519.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $508.96 / $508.96	Facility		$480.15	$508.96	$508.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $662.04 / $2,488.50 / $2,544.80	Facility		$662.04	$2,488.50	$2,544.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.62 / $519.52 / $749.65	Facility		$96.62	$519.52	$749.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.64 / $508.96 / $922.27	Professional		$389.64	$508.96	$922.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.94 / $508.96 / $735.09	Facility		$299.94	$508.96	$735.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $480.83 / $508.96 / $889.89	Professional		$480.83	$508.96	$889.89
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $491.65 / $491.65 / $687.10	Professional		$491.65	$491.65	$687.10