Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $331.13	Professional		$104.71	$190.55	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $181.97	Professional		$169.82	$173.78	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $281.84	Professional		$85.11	$158.49	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $363.08	Professional		$117.49	$208.93	$363.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $1,584.89	Professional		$1,479.11	$1,584.89	$1,584.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $323.59	Professional		$95.50	$181.97	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $380.19	Professional		$112.20	$208.93	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $316.23	Professional		$102.33	$186.21	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82