Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $1,737.80	Facility		$489.78	$851.14	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $562.34	Professional		$446.68	$478.63	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,000.00 / $1,905.46	Facility		$407.38	$1,000.00	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $616.60 / $1,202.26	Facility		$158.49	$616.60	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $501.19	Professional		$446.68	$478.63	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $549.54 / $1,479.11	Facility		$446.68	$549.54	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $478.63	Professional		$416.87	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74