Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,230.27	Facility		$363.08	$602.56	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $436.52	Professional		$354.81	$363.08	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $537.03	Facility		$213.80	$354.81	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $851.14	Facility		$363.08	$501.19	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $363.08 / $371.54	Professional		$147.91	$363.08	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $478.63 / $1,318.26	Facility		$109.65	$478.63	$1,318.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $416.87 / $416.87	Professional		$79.43	$416.87	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $380.19 / $407.38	Professional		$371.54	$380.19	$407.38