Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.32 / $137.85 / $303.77	Facility		$125.32	$137.85	$303.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $125.32 / $126.57	Professional		$71.33	$125.32	$126.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.79 / $494.10 / $1,015.65	Facility		$206.79	$494.10	$1,015.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $412.30 / $1,382.85 / $1,382.85	Facility		$412.30	$1,382.85	$1,382.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $98.40 / $125.32	Facility		$68.81	$98.40	$125.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $62.94 / $62.94	Professional		$62.94	$62.94	$62.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $186.37	Facility		$47.60	$47.60	$186.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $93.19 / $125.81	Professional		$93.19	$93.19	$125.81