Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.44 / $9,889.00	Facility		$3.44	$3.44	$9,889.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.02 / $196.37 / $339.32	Facility		$77.02	$196.37	$339.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
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 $3.44 / $4.47 / $9.76	Facility		$3.44	$4.47	$9.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $3.96 / $9.76	Facility		$3.44	$3.96	$9.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.56 / $119.56 / $119.56	Professional		$119.56	$119.56	$119.56
United Facility/Professional Facility Modifier Low / Median / High Price $121.33 / $126.14 / $166.40	Facility		$121.33	$126.14	$166.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $18.01	Professional		$13.34	$13.34	$18.01