Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.68 / $163.89 / $306.10	Facility		$121.68	$163.89	$306.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $127.54 / $205.06	Professional		$121.68	$127.54	$205.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.09 / $1,372.39 / $2,707.25	Facility		$536.09	$1,372.39	$2,707.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Professional		$570.54	$570.54	$570.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.89 / $794.72 / $823.70	Facility		$645.89	$794.72	$823.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.54 / $195.21 / $645.89	Facility		$127.54	$195.21	$645.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.25 / $263.25 / $484.42	Professional		$137.25	$263.25	$484.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $570.54 / $608.22	Facility		$174.00	$570.54	$608.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.25 / $570.54 / $570.54	Professional		$263.25	$570.54	$570.54
United Facility/Professional Professional Modifier Low / Median / High Price $645.89 / $645.89 / $645.89	Professional		$645.89	$645.89	$645.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.01 / $549.01 / $741.16	Professional		$549.01	$549.01	$741.16