Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $138.04	Professional		$79.43	$95.50	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $162.18	Professional		$87.10	$114.82	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $158.49	Professional		$79.43	$112.20	$158.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $851.14	Professional		$645.65	$851.14	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $177.83	Professional		$91.20	$117.49	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $173.78	Professional		$79.43	$112.20	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $138.04	Professional		$74.13	$97.72	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20