Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $223.87 / $446.68	Facility		$131.83	$223.87	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $162.18	Professional		$128.82	$131.83	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $309.03	Facility		$131.83	$190.55	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $138.04	Professional		$128.82	$131.83	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $436.52	Facility		$138.04	$186.21	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13