Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $275.42	Professional		$138.04	$173.78	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $162.18	Professional		$30.20	$75.86	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $398.11	Professional		$151.36	$229.09	$398.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $1,513.56	Professional		$1,318.26	$1,513.56	$1,513.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $426.58	Professional		$141.25	$234.42	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $144.54	Professional		$30.90	$33.11	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $389.05	Professional		$154.88	$223.87	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $309.03	Professional		$162.18	$199.53	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97