Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $209.45 / $288.06	Facility		$131.16	$209.45	$288.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $132.47 / $144.27	Professional		$131.16	$132.47	$144.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.92 / $880.59 / $1,757.00	Facility		$347.92	$880.59	$1,757.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $131.16 / $131.16	Facility		$123.73	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $655.80 / $671.25	Facility		$392.50	$655.80	$671.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.04 / $187.56 / $195.05	Facility		$132.04	$187.56	$195.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $131.16 / $211.79	Professional		$123.80	$131.16	$211.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $131.16 / $189.43	Facility		$123.73	$131.16	$189.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $142.29	Professional		$131.16	$131.16	$142.29
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $146.01 / $146.01	Professional		$131.16	$146.01	$146.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.01 / $117.01 / $177.07	Professional		$117.01	$117.01	$177.07