Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $2,640.00 / $7,542.00	Facility		$652.00	$2,640.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $37.43	Professional		$29.50	$29.50	$37.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.96 / $795.23 / $1,774.36	Facility		$462.96	$795.23	$1,774.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
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 $29.50 / $29.50 / $42.19	Facility		$29.50	$29.50	$42.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $42.19	Facility		$29.50	$29.50	$42.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.60	Professional		$16.00	$16.00	$21.60