Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $110.67 / $235.58	Facility		$98.16	$110.67	$235.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $100.61 / $136.02	Professional		$98.16	$100.61	$136.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.87 / $470.57 / $690.18	Facility		$232.87	$470.57	$690.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $101.84 / $101.84	Professional		$101.84	$101.84	$101.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $541.95 / $541.95	Facility		$122.70	$541.95	$541.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $100.61 / $143.87	Facility		$5.73	$100.61	$143.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $48.08 / $92.03	Professional		$25.07	$48.08	$92.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $108.39 / $143.87	Facility		$8.68	$108.39	$143.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $108.39 / $108.39	Professional		$39.79	$108.39	$108.39
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $146.33	Professional		$108.39	$108.39	$146.33