Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.92 / $90.72 / $108.00	Facility		$79.92	$90.72	$108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $96.29 / $120.36	Professional		$96.29	$96.29	$120.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $25.00 / $25.00	Facility		$21.25	$25.00	$25.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00