Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $156.47 / $193.78	Professional		$113.39	$156.47	$193.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $149.18 / $149.18	Professional		$126.81	$149.18	$149.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $154.15 / $154.15	Professional		$154.15	$154.15	$154.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.08 / $1,090.08 / $1,412.25	Professional		$1,090.08	$1,090.08	$1,412.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $217.82 / $301.58	Professional		$184.31	$217.82	$301.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.15 / $154.15 / $155.69	Professional		$154.15	$154.15	$155.69
United Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $187.88 / $277.64	Professional		$136.69	$187.88	$277.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $164.09 / $227.04	Professional		$143.00	$164.09	$227.04