Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $741.31 / $2,951.21	Facility		$380.19	$741.31	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $489.78	Professional		$380.19	$380.19	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $676.08 / $1,230.27	Facility		$269.15	$676.08	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $380.19	Facility		$363.08	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $1,862.09	Facility		$380.19	$537.03	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $489.78	Professional		$354.81	$380.19	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $269.15	Professional		$263.03	$263.03	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $549.54 / $1,202.26	Facility		$295.12	$549.54	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $426.58	Professional		$380.19	$426.58	$426.58