Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $181.97	Professional		$79.43	$109.65	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $173.78	Professional		$85.11	$117.49	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $208.93	Professional		$97.72	$134.90	$208.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,023.29	Professional		$891.25	$1,023.29	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $204.17	Professional		$81.28	$120.23	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $213.80	Professional		$97.72	$138.04	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $162.18	Professional		$81.28	$114.82	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49