Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $2,072.71 / $2,072.71	Facility		$388.64	$2,072.71	$2,072.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.11 / $686.60 / $738.90	Professional		$516.11	$686.60	$738.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.09 / $430.09 / $1,748.87	Facility		$430.09	$430.09	$1,748.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.09 / $430.09 / $430.09	Professional		$430.09	$430.09	$430.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Facility		$457.73	$457.73	$457.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Professional		$457.73	$457.73	$457.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $518.17 / $1,313.95 / $1,313.95	Facility		$518.17	$1,313.95	$1,313.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $518.17 / $594.00	Facility		$457.73	$518.17	$594.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $388.64 / $388.64	Professional		$388.64	$388.64	$388.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $518.17	Facility		$457.73	$457.73	$518.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $457.73	Professional		$457.73	$457.73	$457.73
United Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $518.17	Professional		$518.17	$518.17	$518.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $449.09 / $449.09 / $606.27	Professional		$449.09	$449.09	$606.27