Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $109.65	Professional		$50.12	$70.79	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $85.11	Professional		$57.54	$57.54	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $831.76	Professional		$616.60	$831.76	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $177.83	Professional		$54.95	$91.20	$177.83
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 $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $131.83	Professional		$60.26	$89.13	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50