Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $847.70 / $1,198.51	Facility		$495.55	$847.70	$1,198.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $500.50 / $679.16	Professional		$495.55	$500.50	$679.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.77 / $1,138.36 / $2,271.34	Facility		$449.77	$1,138.36	$2,271.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.52 / $481.52 / $481.52	Professional		$481.52	$481.52	$481.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $495.55 / $495.55	Facility		$467.50	$495.55	$495.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $644.34 / $2,422.00 / $2,477.75	Facility		$644.34	$2,422.00	$2,477.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $494.43 / $708.64 / $729.89	Facility		$494.43	$708.64	$729.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.82 / $495.55 / $898.24	Professional		$370.82	$495.55	$898.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.50 / $495.55 / $715.72	Facility		$467.50	$495.55	$715.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $468.29 / $495.55 / $876.76	Professional		$468.29	$495.55	$876.76
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $484.40 / $484.40 / $668.99	Professional		$484.40	$484.40	$668.99