Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $467.74	Facility		$138.04	$245.47	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $169.82	Professional		$134.90	$138.04	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $354.81 / $660.69	Facility		$141.25	$354.81	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $323.59	Facility		$138.04	$194.98	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $144.54	Professional		$134.90	$138.04	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $457.09	Facility		$144.54	$173.78	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25