Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.52 / $654.01 / $1,860.21	Facility		$377.52	$654.01	$1,860.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.51 / $381.30 / $526.90	Professional		$377.51	$381.30	$526.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.87 / $677.98 / $1,352.74	Facility		$267.87	$677.98	$1,352.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $367.18 / $367.18	Professional		$367.18	$367.18	$367.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $377.52 / $377.52	Facility		$356.15	$377.52	$377.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $377.52 / $377.52	Professional		$377.52	$377.52	$377.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $492.78 / $1,852.30 / $1,887.60	Facility		$492.78	$1,852.30	$1,887.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.86 / $377.52 / $556.05	Facility		$156.86	$377.52	$556.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.36 / $377.52 / $684.23	Professional		$282.36	$377.52	$684.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.79 / $377.52 / $539.85	Facility		$183.79	$377.52	$539.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $377.52 / $669.65	Professional		$356.72	$377.52	$669.65
United Facility/Professional Facility Modifier Low / Median / High Price $370.46 / $370.46 / $370.46	Facility		$370.46	$370.46	$370.46
United Facility/Professional Professional Modifier Low / Median / High Price $377.52 / $420.26 / $420.26	Professional		$377.52	$420.26	$420.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $369.97 / $369.97 / $509.65	Professional		$369.97	$369.97	$509.65