Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $1,698.24	Facility		$489.78	$870.96	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $616.60	Professional		$489.78	$489.78	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $489.78 / $489.78	Facility		$467.74	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $588.84 / $1,202.26	Facility		$489.78	$588.84	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $524.81	Professional		$478.63	$489.78	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Professional		$489.78	$489.78	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,584.89	Facility		$489.78	$707.95	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Facility		$489.78	$489.78	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $549.54	Professional		$436.52	$549.54	$549.54