Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.14 / $769.11 / $1,637.14	Facility		$682.14	$769.11	$1,637.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.14 / $699.19 / $945.24	Professional		$682.14	$699.19	$945.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.19 / $1,137.13 / $2,243.16	Facility		$444.19	$1,137.13	$2,243.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Facility		$724.77	$724.77	$724.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $810.04 / $1,969.15 / $2,382.75	Facility		$810.04	$1,969.15	$2,382.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.49 / $852.67 / $999.84	Facility		$116.49	$852.67	$999.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $639.50 / $639.50 / $639.50	Professional		$639.50	$639.50	$639.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $724.77 / $999.84	Facility		$127.18	$724.77	$999.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.77 / $724.77 / $724.77	Professional		$724.77	$724.77	$724.77
United Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $710.56	Professional		$710.56	$710.56	$710.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $710.56 / $959.26	Professional		$710.56	$710.56	$959.26