Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $22.92 / $69.45	Facility		$4.30	$22.92	$69.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $6.57 / $8.18	Professional		$5.71	$6.57	$8.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $10.84 / $24.04	Facility		$4.76	$10.84	$24.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Facility		$4.87	$4.87	$4.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $455.75 / $455.75	Facility		$100.00	$455.75	$455.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $5.73 / $5.85	Facility		$5.73	$5.73	$5.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.30	Professional		$4.30	$4.30	$4.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $5.73	Facility		$4.87	$4.87	$5.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $6.57	Professional		$4.80	$4.80	$6.57