Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.85 / $564.86 / $832.59	Facility		$384.85	$564.86	$832.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $388.70 / $534.13	Professional		$384.85	$388.70	$534.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.15 / $1,273.61 / $2,662.34	Facility		$545.15	$1,273.61	$2,662.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $384.85 / $384.85	Facility		$363.06	$384.85	$384.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $384.85 / $384.85	Professional		$384.85	$384.85	$384.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $869.28 / $2,207.94 / $2,207.94	Facility		$869.28	$2,207.94	$2,207.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $550.34 / $566.84	Facility		$381.64	$550.34	$566.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $286.23 / $384.85 / $697.72	Professional		$286.23	$384.85	$697.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.06 / $384.85 / $555.84	Facility		$363.06	$384.85	$555.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.75 / $384.85 / $681.59	Professional		$363.75	$384.85	$681.59
United Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $424.69 / $428.42	Professional		$384.85	$424.69	$428.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.57 / $376.57 / $519.54	Professional		$376.57	$376.57	$519.54