Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $218.42 / $275.39	Facility		$127.45	$218.42	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $128.72 / $173.40	Professional		$127.45	$128.72	$173.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $145.72	Professional		$145.72	$145.72	$145.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $127.45	Facility		$120.24	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $207.20 / $1,102.17 / $1,102.17	Facility		$207.20	$1,102.17	$1,102.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $182.25 / $191.30	Facility		$126.24	$182.25	$191.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $127.45 / $241.06	Professional		$94.68	$127.45	$241.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $187.73	Facility		$120.24	$127.45	$187.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.44 / $127.45 / $231.01	Professional		$120.44	$127.45	$231.01
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $133.18 / $172.06	Professional		$126.24	$133.18	$172.06