Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $17.80 / $42.05	Professional		$14.23	$17.80	$42.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $21.06 / $36.77	Facility		$21.06	$21.06	$36.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $16.60 / $16.60	Professional		$14.71	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $26.36 / $114.24	Professional		$17.72	$26.36	$114.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $257.38 / $315.00	Facility		$43.23	$257.38	$315.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $913.97 / $941.39 / $941.39	Professional		$913.97	$941.39	$941.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $27.82 / $200.19	Facility		$16.68	$27.82	$200.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $27.34 / $35.75	Professional		$23.13	$27.34	$35.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $27.59 / $200.19	Facility		$16.52	$27.59	$200.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $26.81 / $90.29	Professional		$17.80	$26.81	$90.29
United Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $22.04 / $91.20	Professional		$15.95	$22.04	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $19.87 / $28.53	Professional		$17.95	$19.87	$28.53