Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $302.00 / $1,778.28	Facility		$151.36	$302.00	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $186.21	Professional		$147.91	$151.36	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $131.83 / $251.19	Facility		$54.95	$131.83	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $213.80 / $537.03	Facility		$70.79	$213.80	$537.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $158.49	Professional		$147.91	$151.36	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $186.21 / $524.81	Facility		$54.95	$186.21	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $162.18	Professional		$79.43	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $158.49	Professional		$154.88	$158.49	$158.49