Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.36 / $660.45 / $856.51	Facility		$381.36	$660.45	$856.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $385.17 / $532.08	Professional		$381.36	$385.17	$532.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.57 / $859.45 / $1,629.94	Facility		$339.57	$859.45	$1,629.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.80 / $423.80 / $423.80	Professional		$423.80	$423.80	$423.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $381.36 / $381.36	Facility		$359.77	$381.36	$381.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $497.97 / $1,871.80 / $1,906.80	Facility		$497.97	$1,871.80	$1,906.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $512.73 / $561.70	Facility		$380.18	$512.73	$561.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $285.14 / $381.36 / $691.25	Professional		$285.14	$381.36	$691.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $359.77 / $381.36 / $550.79	Facility		$359.77	$381.36	$550.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.39 / $381.36 / $676.98	Professional		$360.39	$381.36	$676.98
United Facility/Professional Facility Modifier Low / Median / High Price $374.36 / $374.36 / $617.69	Facility		$374.36	$374.36	$617.69
United Facility/Professional Professional Modifier Low / Median / High Price $381.36 / $381.36 / $381.36	Professional		$381.36	$381.36	$381.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $374.02 / $374.02 / $514.84	Professional		$374.02	$374.02	$514.84