Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $85.11	Professional		$61.66	$67.61	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $630.96	Professional		$512.86	$630.96	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $109.65	Professional		$63.10	$70.79	$109.65
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 $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $128.82	Professional		$64.57	$89.13	$128.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $97.72	Professional		$64.57	$79.43	$97.72