Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $10.89 / $239.73	Facility		$7.62	$10.89	$239.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $8.67 / $12.63	Professional		$7.62	$8.67	$12.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $20.82 / $20.82	Professional		$17.70	$20.82	$20.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Facility		$21.23	$21.23	$21.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.81 / $17.00	Professional		$11.12	$12.81	$17.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $90.00 / $100.00	Facility		$26.42	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $13.91 / $22.88	Facility		$8.67	$13.91	$22.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $11.83 / $11.83	Professional		$11.83	$11.83	$11.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.67 / $14.23 / $26.54	Facility		$8.67	$14.23	$26.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $14.79 / $17.41	Professional		$12.14	$14.79	$17.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.46 / $21.59	Professional		$8.68	$12.46	$21.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $13.66 / $18.44	Professional		$13.66	$13.66	$18.44