Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $18.69 / $39.79	Facility		$16.57	$18.69	$39.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.98 / $23.11	Professional		$16.57	$16.98	$23.11
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $17.61	Professional		$17.61	$17.61	$17.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $18.41 / $18.42	Facility		$17.92	$18.41	$18.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $150.00	Facility		$100.00	$100.00	$150.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $23.71 / $28.14	Facility		$16.57	$23.71	$28.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $15.54 / $15.54	Professional		$15.54	$15.54	$15.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.46 / $28.14	Facility		$16.98	$23.46	$28.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $15.54 / $15.54	Professional		$15.54	$15.54	$15.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $23.31	Professional		$17.27	$17.27	$23.31