Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $344.22 / $463.30	Facility		$213.84	$344.22	$463.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $215.98 / $271.58	Professional		$213.84	$215.98	$271.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.22 / $491.57 / $980.81	Facility		$194.22	$491.57	$980.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.53 / $204.53 / $204.53	Professional		$204.53	$204.53	$204.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $213.84 / $213.84	Facility		$201.74	$213.84	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $279.22 / $1,049.55 / $1,069.20	Facility		$279.22	$1,049.55	$1,069.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $305.79 / $314.97	Facility		$212.36	$305.79	$314.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $159.27 / $213.84 / $387.56	Professional		$159.27	$213.84	$387.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.74 / $213.84 / $308.85	Facility		$201.74	$213.84	$308.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.05 / $213.84 / $379.90	Professional		$202.05	$213.84	$379.90
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.89 / $209.89 / $288.68	Professional		$209.89	$209.89	$288.68