Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $620.16 / $1,366.63	Facility		$563.79	$620.16	$1,366.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $578.69 / $774.43	Professional		$572.96	$578.69	$774.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $572.96 / $572.96	Facility		$540.53	$572.96	$572.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $700.93 / $2,807.50 / $2,864.80	Facility		$700.93	$2,807.50	$2,864.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $819.33 / $843.91	Facility		$563.79	$819.33	$843.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $422.84 / $541.35 / $1,038.36	Professional		$422.84	$541.35	$1,038.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.53 / $572.96 / $827.53	Facility		$540.53	$572.96	$827.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.35 / $572.96 / $621.61	Professional		$541.35	$572.96	$621.61
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $635.59 / $773.50	Professional		$572.96	$635.59	$773.50