Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $27.78 / $27.78	Facility		$27.78	$27.78	$27.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $27.78 / $27.78	Professional		$27.78	$27.78	$27.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $99.33 / $171.02	Facility		$38.35	$99.33	$171.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $185.20	Facility		$100.00	$100.00	$185.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $36.11 / $78.84	Facility		$27.78	$36.11	$78.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $36.11 / $78.84	Facility		$27.78	$36.11	$78.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $3.84 / $5.18	Professional		$3.84	$3.84	$5.18