Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $37.78 / $3,002.00	Facility		$19.22	$37.78	$3,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.70 / $19.89	Professional		$19.22	$19.70	$19.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Facility		$20.43	$20.43	$20.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.90 / $99.90	Facility		$80.00	$97.90	$99.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $27.48 / $32.65	Facility		$19.22	$27.48	$32.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $18.02 / $18.02	Professional		$18.02	$18.02	$18.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $20.43 / $28.17	Facility		$19.09	$20.43	$28.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $20.43	Professional		$20.43	$20.43	$20.43
United Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $30.87 / $30.87	Facility		$22.83	$30.87	$30.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $19.09 / $25.77	Professional		$19.09	$19.09	$25.77