Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $4.05 / $576.29	Facility		$3.96	$4.05	$576.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $4.05 / $4.21	Professional		$3.96	$4.05	$4.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $7.82 / $16.32	Facility		$3.27	$7.82	$16.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $4.25	Professional		$4.25	$4.25	$4.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Facility		$4.21	$4.21	$4.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $85.00	Facility		$80.00	$85.00	$85.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.95 / $5.81	Facility		$4.05	$4.95	$5.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $3.71 / $3.71	Professional		$3.71	$3.71	$3.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $4.21 / $5.81	Facility		$3.93	$4.21	$5.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $3.93 / $5.31	Professional		$3.93	$3.93	$5.31