Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $21.82 / $23.56	Facility		$19.34	$21.82	$23.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $99.00 / $126.00	Facility		$99.00	$99.00	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $105.00	Professional		$16.39	$16.39	$105.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Facility		$23.17	$23.17	$23.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Facility		$23.17	$23.17	$23.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $16.39 / $105.00	Professional		$3.13	$16.39	$105.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00