Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $14.13 / $4,073.80	Facility		$7.08	$14.13	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $9.12	Professional		$7.08	$7.08	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $13.49 / $25.12	Facility		$5.62	$13.49	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $7.24 / $7.24	Facility		$6.92	$7.24	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $100.00	Facility		$85.11	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.47 / $4,073.80	Facility		$7.24	$10.47	$4,073.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.08 / $8.91	Professional		$6.76	$7.08	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.24	Professional		$7.08	$7.08	$7.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.47 / $23.44	Facility		$7.24	$10.47	$23.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.94	Professional		$7.24	$7.24	$7.94
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.24 / $7.24	Facility		$6.03	$7.24	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24