Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $245.47	Professional		$125.89	$158.49	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $131.83 / $165.96	Professional		$38.02	$131.83	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $380.19	Professional		$141.25	$218.78	$380.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $389.05	Professional		$128.82	$213.80	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $363.08	Professional		$141.25	$208.93	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $309.03	Professional		$151.36	$204.17	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Professional		$154.88	$154.88	$162.18