Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.02 / $318.73 / $746.28	Facility		$279.02	$318.73	$746.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $318.73 / $390.27	Professional		$282.27	$318.73	$390.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.41 / $600.88 / $1,187.05	Facility		$237.41	$600.88	$1,187.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $83.40 / $83.40	Professional		$83.40	$83.40	$83.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Facility		$289.08	$289.08	$289.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $323.10 / $921.80 / $921.80	Facility		$323.10	$921.80	$921.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $272.08 / $398.80	Facility		$155.88	$272.08	$398.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $255.08 / $282.14	Professional		$255.08	$255.08	$282.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $289.08 / $455.78	Facility		$155.88	$289.08	$455.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $289.08 / $289.08	Professional		$255.08	$289.08	$289.08
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $283.42	Professional		$283.42	$283.42	$283.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.88 / $155.88 / $210.44	Professional		$155.88	$155.88	$210.44