Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.90 / $31.62	Facility		$30.20	$30.90	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $33.88	Professional		$18.20	$30.20	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $44.67	Facility		$21.88	$34.67	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.90 / $33.88	Professional		$18.20	$30.90	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $81.28	Professional		$27.54	$27.54	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.88 / $44.67	Facility		$20.42	$33.88	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $28.18	Professional		$14.13	$16.22	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $37.15	Professional		$21.38	$27.54	$37.15