Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $52.80 / $52.80	Professional		$52.80	$52.80	$52.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $120.00	Professional		$9.44	$9.44	$120.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $4.24	Facility		$2.00	$2.00	$4.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $4.24	Facility		$2.00	$2.00	$4.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
United Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $33.02 / $61.70	Professional		$29.24	$33.02	$61.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.80	Professional		$2.00	$2.00	$2.80