Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $33.29 / $43.36	Facility		$19.39	$33.29	$43.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $21.20 / $26.66	Professional		$20.99	$21.20	$26.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $47.66 / $94.66	Facility		$18.82	$47.66	$94.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $7.33 / $7.33	Professional		$7.33	$7.33	$7.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $20.99 / $20.99	Facility		$19.80	$20.99	$20.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $102.85 / $104.95	Facility		$75.00	$102.85	$104.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $30.02 / $30.92	Facility		$18.84	$30.02	$30.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.99 / $39.24	Professional		$14.13	$20.99	$39.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $20.99 / $30.32	Facility		$19.80	$20.99	$30.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $20.99 / $38.11	Professional		$19.87	$20.99	$38.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $21.68 / $28.34	Professional		$18.84	$21.68	$28.34