Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $647.19 / $890.56	Facility		$432.02	$647.19	$890.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $436.34 / $610.91	Professional		$432.02	$436.34	$610.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.42 / $681.49 / $1,489.82	Facility		$206.42	$681.49	$1,489.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $338.66 / $338.66	Professional		$42.00	$338.66	$338.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $432.02 / $432.02	Facility		$407.57	$432.02	$432.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $574.66 / $2,160.10 / $2,246.50	Facility		$574.66	$2,160.10	$2,246.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $436.51 / $636.32	Facility		$30.98	$436.51	$636.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $432.02 / $783.31	Professional		$327.38	$432.02	$783.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.18 / $432.02 / $617.79	Facility		$56.18	$432.02	$617.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.38 / $432.02 / $714.28	Professional		$408.38	$432.02	$714.28
United Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $394.63 / $583.23	Professional		$394.63	$394.63	$583.23