Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $213.60 / $340.39	Facility		$140.99	$213.60	$340.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $142.40 / $192.89	Professional		$140.99	$142.40	$192.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.21 / $364.06 / $718.16	Facility		$142.21	$364.06	$718.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.31 / $148.31 / $148.31	Professional		$148.31	$148.31	$148.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $140.99 / $140.99	Facility		$133.01	$140.99	$140.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $178.59 / $671.30 / $704.95	Facility		$178.59	$671.30	$704.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $201.62 / $207.66	Facility		$140.43	$201.62	$207.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $140.99 / $255.64	Professional		$105.32	$140.99	$255.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $140.99 / $203.63	Facility		$133.01	$140.99	$203.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.27 / $140.99 / $247.03	Professional		$133.27	$140.99	$247.03
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $156.94 / $156.94	Professional		$140.99	$156.94	$156.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $190.34	Professional		$136.47	$136.47	$190.34