Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $56.23	Professional		$39.81	$43.65	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $389.05	Professional		$338.84	$389.05	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $66.07	Professional		$39.81	$45.71	$66.07
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 $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $85.11	Professional		$42.66	$58.88	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $60.26	Professional		$39.81	$47.86	$60.26