Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $28.14 / $64.80	Facility		$16.20	$28.14	$64.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.36 / $24.71	Professional		$16.20	$16.36	$24.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $22.80 / $45.23	Facility		$9.01	$22.80	$45.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $16.20 / $16.20	Facility		$15.28	$16.20	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
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 $14.51 / $16.36 / $23.85	Facility		$14.51	$16.36	$23.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $16.20 / $29.76	Professional		$12.15	$16.20	$29.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $16.20 / $23.39	Facility		$15.28	$16.20	$23.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $16.20 / $29.32	Professional		$15.28	$16.20	$29.32
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.44 / $21.87	Professional		$16.20	$16.44	$21.87