Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $32.20 / $45.04	Facility		$18.44	$32.20	$45.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.62 / $24.51	Professional		$18.44	$18.62	$24.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $49.20 / $102.50	Facility		$19.88	$49.20	$102.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $18.44 / $18.44	Facility		$17.39	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $113.10 / $113.10	Facility		$75.00	$113.10	$113.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $18.44 / $27.16	Facility		$4.43	$18.44	$27.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $18.44 / $35.60	Professional		$13.13	$18.44	$35.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $18.44 / $26.37	Facility		$9.49	$18.44	$26.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $18.44 / $33.43	Professional		$17.42	$18.44	$33.43
United Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $19.67 / $24.89	Professional		$17.51	$19.67	$24.89