Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $218.78	Professional		$141.25	$169.82	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $275.42	Professional		$147.91	$190.55	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $275.42	Professional		$147.91	$194.98	$275.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,412.54	Professional		$1,096.48	$1,412.54	$1,412.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $302.00	Professional		$154.88	$204.17	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $309.03	Professional		$151.36	$204.17	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $251.19	Professional		$131.83	$173.78	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49