Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Facility		$14.82	$14.82	$14.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Professional		$14.82	$14.82	$14.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $244.11 / $423.85	Facility		$91.96	$244.11	$423.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $19.27 / $42.07	Facility		$14.82	$19.27	$42.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $19.27 / $42.07	Facility		$14.82	$19.27	$42.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $18.01	Professional		$13.34	$13.34	$18.01