Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $31.18 / $37.42	Facility		$29.94	$31.18	$37.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $29.94 / $31.18	Professional		$24.95	$29.94	$31.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $24.36 / $24.36	Professional		$24.36	$24.36	$24.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $102.96 / $124.74	Facility		$45.68	$102.96	$124.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $31.18 / $44.59	Facility		$29.35	$31.18	$44.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $20.79 / $20.79	Professional		$20.79	$20.79	$20.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $42.81	Facility		$27.68	$27.68	$42.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $34.63 / $34.63	Professional		$27.88	$34.63	$34.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $36.45	Professional		$27.00	$27.00	$36.45