Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $263.03	Facility		$75.86	$141.25	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $239.88 / $436.52	Facility		$93.33	$239.88	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $75.86	Facility		$72.44	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $83.18 / $186.21	Facility		$75.86	$83.18	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $83.18	Professional		$75.86	$75.86	$83.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $109.65 / $245.47	Facility		$75.86	$109.65	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Professional		$75.86	$75.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86