Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $32.36	Facility		$12.88	$22.91	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.85	Professional		$12.88	$12.88	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $29.51 / $54.95	Facility		$11.75	$29.51	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.18 / $13.18	Facility		$12.59	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $32.36	Facility		$11.48	$13.49	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.85	Professional		$12.88	$12.88	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.49	Professional		$12.88	$12.88	$13.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.62 / $41.69	Facility		$12.88	$18.62	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $14.45	Professional		$13.18	$13.18	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18