Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $9.77 / $19.50	Facility		$5.01	$9.77	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.08	Professional		$5.01	$5.01	$7.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $14.79 / $28.18	Facility		$5.89	$14.79	$28.18
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 $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.13 / $13.49	Facility		$5.01	$8.13	$13.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.25	Professional		$5.01	$5.01	$5.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.41 / $19.50	Facility		$5.75	$7.41	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.49 / $13.49	Professional		$12.30	$13.49	$13.49