Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $35.48	Facility		$34.67	$34.67	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $34.67	Professional		$30.20	$30.20	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $134.90	Facility		$28.84	$70.79	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $35.48 / $51.29	Facility		$23.44	$35.48	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $34.67	Professional		$30.20	$32.36	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.90 / $109.65	Facility		$30.20	$38.90	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $37.15	Professional		$30.20	$37.15	$37.15