Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $20.78 / $29.75	Facility		$13.29	$20.78	$29.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.42 / $18.32	Professional		$13.29	$13.42	$18.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $29.41 / $58.68	Facility		$11.62	$29.41	$58.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $14.71	Professional		$14.71	$14.71	$14.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $13.29 / $13.29	Facility		$12.54	$13.29	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $100.00 / $100.00	Facility		$75.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $13.34 / $19.57	Facility		$10.33	$13.34	$19.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $13.29 / $24.03	Professional		$10.01	$13.29	$24.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $13.29 / $19.00	Facility		$10.82	$13.29	$19.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $13.29 / $23.51	Professional		$12.53	$13.29	$23.51
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $17.94	Professional		$12.99	$12.99	$17.94