Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.47 / $164.93 / $213.13	Facility		$107.47	$164.93	$213.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $115.68 / $151.19	Professional		$114.54	$115.68	$151.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.76 / $376.64 / $751.49	Facility		$154.76	$376.64	$751.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.03 / $130.03 / $130.03	Professional		$130.03	$130.03	$130.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $114.54 / $114.54	Facility		$108.05	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $520.79 / $642.04 / $642.04	Facility		$520.79	$642.04	$642.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $163.79 / $171.87	Facility		$97.70	$163.79	$171.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $114.54 / $207.56	Professional		$73.28	$114.54	$207.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $114.54 / $170.34	Facility		$108.05	$114.54	$170.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $114.54 / $166.77	Professional		$108.21	$114.54	$166.77
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $92.14 / $154.63	Professional		$92.14	$92.14	$154.63