Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $209.06 / $384.00	Facility		$134.88	$209.06	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $138.25 / $186.90	Professional		$134.88	$138.25	$186.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.50 / $355.61 / $709.52	Facility		$140.50	$355.61	$709.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.60 / $516.75 / $632.25	Facility		$168.60	$516.75	$632.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $168.60 / $197.70	Facility		$6.72	$168.60	$197.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $126.45 / $126.45	Professional		$126.45	$126.45	$126.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $197.70	Facility		$143.31	$143.31	$197.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Professional		$140.50	$140.50	$140.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $189.68	Professional		$140.50	$140.50	$189.68