Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.91 / $1,404.73 / $3,938.21	Facility		$978.91	$1,404.73	$3,938.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $1,003.38 / $1,356.48	Professional		$978.91	$1,003.38	$1,356.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.55 / $1,378.28 / $2,750.03	Facility		$544.55	$1,378.28	$2,750.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.99 / $751.99 / $751.99	Professional		$751.99	$751.99	$751.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Facility		$1,040.08	$1,040.08	$1,040.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,162.46 / $5,296.31 / $5,404.40	Facility		$1,162.46	$5,296.31	$5,404.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.20 / $411.71 / $1,434.83	Facility		$169.20	$411.71	$1,434.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $255.04 / $917.73	Professional		$132.97	$255.04	$917.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.61 / $1,040.08 / $1,434.83	Facility		$201.61	$1,040.08	$1,434.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $211.11 / $1,040.08 / $1,040.08	Professional		$211.11	$1,040.08	$1,040.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,019.70	Professional		$1,019.70	$1,019.70	$1,019.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $952.99 / $952.99 / $1,286.54	Professional		$952.99	$952.99	$1,286.54