Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $105.60 / $114.00	Facility		$93.60	$105.60	$114.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $53.24 / $66.55	Professional		$53.24	$53.24	$66.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $10.00 / $10.00	Facility		$8.50	$10.00	$10.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $31.41 / $31.41	Professional		$31.41	$31.41	$31.41