Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.08 / $552.55 / $1,176.19	Facility		$490.08	$552.55	$1,176.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $502.33 / $679.10	Professional		$490.08	$502.33	$679.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.46 / $1,286.91 / $2,567.71	Facility		$508.46	$1,286.91	$2,567.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.46 / $508.46 / $508.46	Professional		$508.46	$508.46	$508.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Facility		$520.71	$520.71	$520.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $2,705.65 / $2,705.65	Facility		$600.00	$2,705.65	$2,705.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $502.33 / $612.60 / $718.33	Facility		$502.33	$612.60	$718.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $459.45 / $459.45 / $459.45	Professional		$459.45	$459.45	$459.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $520.71 / $718.33	Facility		$520.71	$520.71	$718.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $520.71 / $520.71	Professional		$520.71	$520.71	$520.71
United Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $510.50	Professional		$510.50	$510.50	$510.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $510.50 / $689.18	Professional		$510.50	$510.50	$689.18