Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $159.25 / $338.98	Facility		$141.24	$159.25	$338.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $144.77 / $196.89	Professional		$141.24	$144.77	$196.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,456.92 / $5,456.92	Facility		$5,456.92	$5,456.92	$5,456.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.36 / $159.60 / $159.60	Facility		$155.36	$159.60	$159.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.49 / $169.49 / $210.38	Facility		$169.49	$169.49	$210.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.60 / $188.82 / $207.02	Facility		$135.60	$188.82	$207.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $132.41 / $132.41	Professional		$132.41	$132.41	$132.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.60 / $159.60 / $239.84	Facility		$135.60	$159.60	$239.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $132.41 / $132.41	Professional		$132.41	$132.41	$132.41
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $136.80	Professional		$136.80	$136.80	$136.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $149.71 / $202.11	Professional		$149.71	$149.71	$202.11