Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $229.09	Professional		$165.96	$181.97	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $1,698.24	Professional		$1,348.96	$1,698.24	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $295.12	Professional		$165.96	$186.21	$295.12
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 $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $346.74	Professional		$169.82	$234.42	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $263.03	Professional		$169.82	$213.80	$263.03