Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $191.77 / $408.22	Facility		$170.09	$191.77	$408.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $174.34 / $243.97	Professional		$170.09	$174.34	$243.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $180.72	Professional		$180.72	$180.72	$180.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.10 / $192.21 / $192.21	Facility		$187.10	$192.21	$192.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $212.61 / $469.88	Facility		$180.71	$212.61	$469.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $234.06 / $249.95	Facility		$170.09	$234.06	$249.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $159.46 / $159.46	Professional		$159.46	$159.46	$159.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.09 / $192.46 / $288.83	Facility		$170.09	$192.46	$288.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.46 / $159.46 / $159.46	Professional		$159.46	$159.46	$159.46
United Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $180.30	Professional		$180.30	$180.30	$180.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.30 / $180.30 / $243.41	Professional		$180.30	$180.30	$243.41