Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $134.13 / $193.37	Professional		$111.93	$134.13	$193.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $211.28 / $233.08	Professional		$122.35	$211.28	$233.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $175.20 / $291.95	Professional		$129.76	$175.20	$291.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $127.22 / $127.22	Professional		$127.22	$127.22	$127.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $207.22 / $307.72	Professional		$127.22	$207.22	$307.72
United Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $187.21 / $243.37	Professional		$129.63	$187.21	$243.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $114.57 / $182.36	Professional		$114.57	$114.57	$182.36