Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $223.85 / $746.16	Facility		$149.22	$223.85	$746.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $152.96 / $206.79	Professional		$149.22	$152.96	$206.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $138.24 / $275.83	Facility		$54.62	$138.24	$275.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $58.58 / $58.58	Professional		$58.58	$58.58	$58.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.21 / $654.20 / $683.14	Facility		$177.21	$654.20	$683.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $152.96 / $218.73	Facility		$49.27	$152.96	$218.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $78.56 / $139.91	Professional		$40.96	$78.56	$139.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $158.56 / $218.73	Facility		$55.39	$158.56	$218.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $158.56 / $158.56	Professional		$65.03	$158.56	$158.56
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $155.44	Professional		$155.44	$155.44	$155.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.81 / $151.81 / $204.94	Professional		$151.81	$151.81	$204.94