Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $9.06 / $13.05	Facility		$5.98	$9.06	$13.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $6.04 / $8.21	Professional		$5.98	$6.04	$8.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $33.46 / $63.32	Facility		$13.22	$33.46	$63.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.98 / $5.98	Facility		$5.64	$5.98	$5.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $5.98	Professional		$5.98	$5.98	$5.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $8.55 / $8.81	Facility		$5.98	$8.55	$8.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.98 / $10.82	Professional		$4.48	$5.98	$10.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.98 / $8.64	Facility		$5.64	$5.98	$8.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.98 / $10.55	Professional		$5.50	$5.98	$10.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $5.98	Professional		$5.98	$5.98	$5.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $8.07	Professional		$5.98	$5.98	$8.07