Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.89 / $862.46 / $1,161.89	Facility		$529.89	$862.46	$1,161.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $535.19 / $745.38	Professional		$529.89	$535.19	$745.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $511.37 / $511.37 / $511.37	Professional		$511.37	$511.37	$511.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $529.89 / $529.89	Facility		$499.90	$529.89	$529.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $697.78 / $2,622.85 / $2,649.45	Facility		$697.78	$2,622.85	$2,649.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $532.58 / $757.74 / $780.48	Facility		$532.58	$757.74	$780.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $399.44 / $529.89 / $960.37	Professional		$399.44	$529.89	$960.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.90 / $529.89 / $765.32	Facility		$499.90	$529.89	$765.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $500.69 / $529.89 / $951.86	Professional		$500.69	$529.89	$951.86
United Facility/Professional Professional Modifier Low / Median / High Price $529.89 / $529.89 / $529.89	Professional		$529.89	$529.89	$529.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $525.89 / $525.89 / $715.35	Professional		$525.89	$525.89	$715.35