Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $20.94 / $21.59	Facility		$20.73	$20.94	$21.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $21.37 / $23.32	Professional		$15.76	$21.37	$23.32
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 $17.27 / $17.27 / $17.27	Professional		$17.27	$17.27	$17.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $115.41 / $117.14	Facility		$50.06	$115.41	$117.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $21.69 / $29.94	Facility		$15.12	$21.69	$29.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $12.58 / $24.66	Professional		$9.78	$12.58	$24.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $21.69 / $30.56	Facility		$14.32	$21.69	$30.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $20.35 / $22.62	Professional		$9.78	$20.35	$22.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.54 / $25.02	Professional		$14.45	$18.54	$25.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $24.66 / $33.29	Professional		$24.66	$24.66	$33.29