Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $54.32 / $87.20	Professional		$45.45	$54.32	$87.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $74.00 / $93.68	Professional		$44.80	$74.00	$93.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $76.88 / $139.52	Professional		$53.62	$76.88	$139.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Professional		$52.57	$52.57	$52.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $85.09 / $146.50	Professional		$52.57	$85.09	$146.50
United Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $84.41 / $112.20	Professional		$51.68	$84.41	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $75.56	Professional		$47.49	$47.49	$75.56