Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $7.84 / $23.41	Facility		$4.55	$7.84	$23.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.67 / $6.55	Professional		$4.55	$4.67	$6.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Facility		$5.24	$5.24	$5.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $100.00 / $100.00	Facility		$95.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.76 / $7.75	Facility		$4.43	$4.76	$7.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $4.28 / $4.28	Professional		$4.28	$4.28	$4.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $5.24 / $6.68	Facility		$4.67	$5.24	$6.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $5.24	Professional		$5.24	$5.24	$5.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.24 / $7.07	Professional		$5.24	$5.24	$7.07