Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $109.04 / $162.59	Professional		$80.19	$109.04	$162.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $115.47 / $167.87	Professional		$85.26	$115.47	$167.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $131.76 / $207.21	Professional		$94.88	$131.76	$207.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $684.16 / $896.56 / $1,032.68	Professional		$684.16	$896.56	$1,032.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $164.00 / $223.22	Professional		$114.03	$164.00	$223.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $136.96 / $225.95	Professional		$99.42	$136.96	$225.95
United Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $130.10 / $193.23	Professional		$98.02	$130.10	$193.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $115.95 / $162.33	Professional		$102.42	$115.95	$162.33