Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $204.17	Professional		$112.20	$128.82	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $102.33	Professional		$89.13	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $251.19	Professional		$117.49	$151.36	$251.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,023.29	Professional		$776.25	$1,023.29	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $229.09	Professional		$112.20	$144.54	$229.09
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 $112.20 / $147.91 / $239.88	Professional		$112.20	$147.91	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $218.78	Professional		$100.00	$134.90	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Professional		$117.49	$123.03	$123.03