Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.90 / $30.90	Facility		$28.84	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.90	Professional		$23.99	$23.99	$30.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $29.51 / $29.51	Facility		$27.54	$29.51	$29.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.90 / $44.67	Facility		$29.51	$30.90	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.90	Professional		$23.99	$23.99	$30.90
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 $27.54 / $29.51 / $44.67	Facility		$27.54	$29.51	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $79.43	Professional		$22.39	$30.20	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $34.67	Professional		$28.18	$33.11	$34.67