Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $17.85 / $21.02	Facility		$17.85	$17.85	$21.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $17.85 / $17.85	Professional		$15.17	$17.85	$17.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Facility		$16.64	$16.64	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $214.27	Facility		$100.00	$100.00	$214.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.85 / $25.53	Facility		$17.52	$17.85	$25.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $16.64 / $25.53	Facility		$14.18	$16.64	$25.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $16.64 / $16.64	Professional		$16.64	$16.64	$16.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $18.07 / $23.60	Professional		$14.55	$18.07	$23.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $19.71	Professional		$14.60	$14.60	$19.71