Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.97 / $543.37 / $1,197.38	Facility		$493.97	$543.37	$1,197.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.37 / $493.97 / $641.70	Professional		$447.37	$493.97	$641.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.68 / $1,026.78 / $2,048.67	Facility		$405.68	$1,026.78	$2,048.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Facility		$475.33	$475.33	$475.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $475.33 / $475.33	Professional		$475.33	$475.33	$475.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $566.91 / $2,290.19 / $2,290.19	Facility		$566.91	$2,290.19	$2,290.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.33 / $458.55 / $655.73	Facility		$128.33	$458.55	$655.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.90 / $206.96 / $419.41	Professional		$107.90	$206.96	$419.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.16 / $475.33 / $727.57	Facility		$160.16	$475.33	$727.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $206.96 / $475.33 / $475.33	Professional		$206.96	$475.33	$475.33
United Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $466.01	Professional		$466.01	$466.01	$466.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $466.01 / $466.01 / $629.11	Professional		$466.01	$466.01	$629.11