Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $29.25 / $35.10	Facility		$29.25	$29.25	$35.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $29.25 / $29.25	Professional		$24.86	$29.25	$29.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $58.75 / $115.90	Facility		$22.95	$58.75	$115.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $28.67 / $28.67	Professional		$28.67	$28.67	$28.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Facility		$27.44	$27.44	$27.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $90.00 / $109.69	Facility		$35.75	$90.00	$109.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $29.25 / $41.83	Facility		$27.79	$29.25	$41.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $27.44 / $41.83	Facility		$27.40	$27.44	$41.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
United Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $50.14 / $50.14	Facility		$37.08	$50.14	$50.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $31.40 / $32.79	Professional		$26.40	$31.40	$32.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $37.52	Professional		$25.01	$25.01	$37.52