Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $122.81 / $175.79	Professional		$101.08	$122.81	$175.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.96 / $98.78 / $143.80	Professional		$83.96	$98.78	$143.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $145.18 / $243.43	Professional		$116.11	$145.18	$243.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $784.05 / $784.05 / $1,017.38	Professional		$784.05	$784.05	$1,017.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $157.27 / $215.95	Professional		$115.14	$157.27	$215.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $146.90 / $248.97	Professional		$116.29	$146.90	$248.97
United Facility/Professional Professional Modifier Low / Median / High Price $99.11 / $130.83 / $215.05	Professional		$99.11	$130.83	$215.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $117.60 / $122.52	Professional		$80.00	$117.60	$122.52