Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $307.08 / $988.32	Facility		$170.48	$307.08	$988.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $172.18 / $246.35	Professional		$170.48	$172.18	$246.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $1,025.79 / $1,501.52	Facility		$58.70	$1,025.79	$1,501.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.54 / $599.54 / $599.54	Professional		$599.54	$599.54	$599.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $170.48 / $170.48	Facility		$160.83	$170.48	$170.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $484.90 / $2,181.77 / $2,444.25	Facility		$484.90	$2,181.77	$2,444.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.52 / $172.18 / $251.09	Facility		$161.52	$172.18	$251.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.30 / $170.48 / $894.43	Professional		$125.30	$170.48	$894.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $170.48 / $253.54	Facility		$160.83	$170.48	$253.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.09 / $170.48 / $308.99	Professional		$161.09	$170.48	$308.99
United Facility/Professional Facility Modifier Low / Median / High Price $806.60 / $806.60 / $806.60	Facility		$806.60	$806.60	$806.60
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $230.15 / $494.16	Professional		$170.48	$230.15	$494.16