Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $14.53 / $107.36	Facility		$9.85	$14.53	$107.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $11.27 / $17.10	Professional		$9.85	$11.27	$17.10
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 $22.86 / $26.90 / $26.90	Professional		$22.86	$26.90	$26.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $25.42 / $25.42	Facility		$25.42	$25.42	$25.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $15.66 / $22.34	Professional		$13.75	$15.66	$22.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $90.00 / $100.00	Facility		$32.49	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $18.02 / $27.81	Facility		$11.27	$18.02	$27.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $14.63 / $14.63	Professional		$14.63	$14.63	$14.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $18.42 / $32.83	Facility		$11.27	$18.42	$32.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $18.96 / $22.34	Professional		$15.35	$18.96	$22.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $15.04 / $25.92	Professional		$10.68	$15.04	$25.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $17.20 / $23.22	Professional		$17.20	$17.20	$23.22