Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.38 / $5.05	Facility		$2.11	$2.38	$5.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.16 / $2.94	Professional		$2.11	$2.16	$2.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Facility		$2.24	$2.24	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $100.00 / $100.00	Facility		$95.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.95 / $3.15	Facility		$2.11	$2.95	$3.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $1.98 / $1.98	Professional		$1.98	$1.98	$1.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $2.24 / $3.09	Facility		$2.24	$2.24	$3.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $3.02	Professional		$2.24	$2.24	$3.02