Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $1,230.27	Facility		$562.34	$954.99	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $707.95	Professional		$562.34	$562.34	$707.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,318.26 / $2,511.89	Facility		$512.86	$1,318.26	$2,511.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $562.34 / $562.34	Facility		$524.81	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,148.15	Facility		$562.34	$562.34	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $676.08	Professional		$537.03	$562.34	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $562.34	Professional		$537.03	$537.03	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $794.33 / $1,737.80	Facility		$562.34	$794.33	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34