Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $36.97 / $49.98	Facility		$19.32	$36.97	$49.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.52 / $32.07	Professional		$19.32	$19.52	$32.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $30.98 / $61.10	Facility		$12.10	$30.98	$61.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Professional		$14.77	$14.77	$14.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $19.32 / $19.32	Facility		$18.23	$19.32	$19.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
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 $4.43 / $22.91 / $28.47	Facility		$4.43	$22.91	$28.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $19.32 / $37.39	Professional		$17.18	$19.32	$37.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.23 / $19.32 / $27.64	Facility		$6.23	$19.32	$27.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $19.32 / $35.17	Professional		$18.34	$19.32	$35.17
United Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $34.50 / $34.50	Facility		$25.51	$34.50	$34.50
United Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $20.66 / $26.10	Professional		$19.32	$20.66	$26.10