Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $116.73 / $248.50	Facility		$103.54	$116.73	$248.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $106.12 / $148.51	Professional		$103.54	$106.12	$148.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.01 / $110.01 / $110.01	Professional		$110.01	$110.01	$110.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.06 / $119.23 / $119.23	Facility		$116.06	$119.23	$119.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $3,450.15 / $3,450.15	Facility		$195.36	$3,450.15	$3,450.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.54 / $145.06 / $154.91	Facility		$103.54	$145.06	$154.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $97.07 / $178.24	Professional		$92.93	$97.07	$178.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.12 / $133.04 / $174.72	Facility		$106.12	$133.04	$174.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $97.07 / $178.24	Professional		$92.93	$97.07	$178.24
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $111.85 / $151.00	Professional		$111.85	$111.85	$151.00