Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $135.30 / $288.00	Facility		$120.00	$135.30	$288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $123.00 / $166.28	Professional		$120.00	$123.00	$166.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.89 / $693.24 / $1,383.19	Facility		$273.89	$693.24	$1,383.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $128.75 / $128.75	Professional		$128.75	$128.75	$128.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $1,457.50 / $1,457.50	Facility		$330.00	$1,457.50	$1,457.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $150.00 / $175.89	Facility		$123.00	$150.00	$175.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Professional		$112.50	$112.50	$112.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $175.89	Facility		$127.50	$127.50	$175.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $168.75	Professional		$125.00	$125.00	$168.75