Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $375.74 / $799.80	Facility		$333.25	$375.74	$799.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $341.58 / $461.79	Professional		$333.25	$341.58	$461.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $864.35 / $1,659.28	Facility		$347.13	$864.35	$1,659.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Facility		$367.96	$367.96	$367.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $367.96	Professional		$367.96	$367.96	$367.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $406.40 / $7,359.25 / $7,359.25	Facility		$406.40	$7,359.25	$7,359.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $230.62 / $341.58 / $488.46	Facility		$230.62	$341.58	$488.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.11 / $280.26 / $312.42	Professional		$146.11	$280.26	$312.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.33 / $367.96 / $488.46	Facility		$247.33	$367.96	$488.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.26 / $367.96 / $367.96	Professional		$280.26	$367.96	$367.96
United Facility/Professional Professional Modifier Low / Median / High Price $357.54 / $357.54 / $357.54	Professional		$357.54	$357.54	$357.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $367.96 / $367.96 / $496.75	Professional		$367.96	$367.96	$496.75