Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $36.31	Professional		$15.14	$22.91	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $26.92	Professional		$23.99	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $47.86	Professional		$19.05	$25.70	$47.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $269.15	Professional		$199.53	$269.15	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $58.88	Professional		$15.14	$25.70	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $33.88	Professional		$26.92	$33.11	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $48.98	Professional		$19.50	$25.12	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $34.67	Professional		$23.44	$28.18	$34.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $32.36	Professional		$23.99	$30.90	$32.36