Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $397.91 / $847.01	Facility		$352.92	$397.91	$847.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $361.74 / $489.04	Professional		$352.92	$361.74	$489.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.39 / $435.24 / $638.35	Facility		$215.39	$435.24	$638.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $419.09 / $661.73 / $882.30	Facility		$419.09	$661.73	$882.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $441.15 / $517.29	Facility		$8.75	$441.15	$517.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $12.31 / $330.86	Professional		$6.42	$12.31	$330.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.40 / $374.98 / $517.29	Facility		$110.40	$374.98	$517.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $374.98 / $374.98	Professional		$10.19	$374.98	$374.98
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $367.63	Professional		$367.63	$367.63	$367.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $35.99 / $147.05	Professional		$26.66	$35.99	$147.05