Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $29.08 / $31.50	Professional		$22.18	$29.08	$31.50
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 $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $24.20 / $24.20	Professional		$24.20	$24.20	$24.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $155.77 / $161.44 / $161.44	Facility		$155.77	$161.44	$161.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $31.34	Facility		$22.18	$22.18	$31.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $31.34	Facility		$22.18	$22.18	$31.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $24.20 / $24.20	Professional		$24.20	$24.20	$24.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $31.52 / $49.39	Professional		$23.82	$31.52	$49.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $25.57 / $25.57	Professional		$25.57	$25.57	$25.57