Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $9.86 / $12.62	Facility		$5.64	$9.86	$12.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.70 / $8.00	Professional		$5.64	$5.70	$8.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.03 / $12.73 / $25.15	Facility		$5.03	$12.73	$25.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $5.91 / $5.91	Professional		$5.91	$5.91	$5.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.64 / $5.64	Facility		$5.32	$5.64	$5.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $100.00	Facility		$75.00	$85.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $8.07 / $8.31	Facility		$0.56	$8.07	$8.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.64 / $9.97	Professional		$4.28	$5.64	$9.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.64 / $8.15	Facility		$5.32	$5.64	$8.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.64 / $9.97	Professional		$5.20	$5.64	$9.97
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.51 / $7.61	Professional		$5.51	$5.51	$7.61