Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $66.07 / $89.13	Facility		$36.31	$66.07	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $45.71	Professional		$36.31	$37.15	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $131.83	Facility		$28.84	$70.79	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.15 / $37.15	Facility		$34.67	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $75.86	Facility		$37.15	$37.15	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $39.81	Professional		$34.67	$37.15	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $37.15	Professional		$34.67	$34.67	$37.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $117.49	Facility		$36.31	$52.48	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $39.81	Professional		$36.31	$36.31	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15