Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $864.76 / $1,130.53	Facility		$498.14	$864.76	$1,130.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $503.12 / $779.29	Professional		$498.14	$503.12	$779.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.47 / $1,180.24 / $2,328.19	Facility		$479.47	$1,180.24	$2,328.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.40 / $475.40 / $475.40	Professional		$475.40	$475.40	$475.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $498.14 / $498.14	Facility		$469.94	$498.14	$498.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.82 / $2,454.35 / $2,490.69	Facility		$652.82	$2,454.35	$2,490.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $497.80 / $712.34 / $733.70	Facility		$497.80	$712.34	$733.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $373.35 / $498.14 / $902.92	Professional		$373.35	$498.14	$902.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $498.14 / $719.46	Facility		$469.94	$498.14	$719.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $470.74 / $498.14 / $893.56	Professional		$470.74	$498.14	$893.56
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.68 / $493.68 / $672.49	Professional		$493.68	$493.68	$672.49