Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $22.16	Professional		$22.16	$22.16	$22.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $26.40 / $28.50	Facility		$23.40	$26.40	$28.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $19.30 / $19.30	Professional		$16.41	$19.30	$19.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $228.00 / $228.00	Professional		$142.03	$228.00	$228.00
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 $22.16 / $22.16 / $22.16	Facility		$22.16	$22.16	$22.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Professional		$5.23	$5.23	$5.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $22.16	Facility		$22.16	$22.16	$22.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $228.00 / $228.00	Professional		$5.23	$228.00	$228.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00