Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $6.35 / $13.51	Facility		$5.63	$6.35	$13.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.77 / $7.85	Professional		$5.63	$5.77	$7.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $14.72 / $28.03	Facility		$5.84	$14.72	$28.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $100.00 / $100.00	Facility		$85.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $6.17 / $9.57	Facility		$4.30	$6.17	$9.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $5.28 / $6.44	Professional		$3.36	$5.28	$6.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $6.17 / $8.36	Facility		$5.63	$6.17	$8.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $6.17 / $6.17	Professional		$5.28	$6.17	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.58 / $13.58	Professional		$12.20	$13.58	$13.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $8.07	Professional		$5.98	$5.98	$8.07