Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $16.22 / $75.86	Facility		$6.03	$16.22	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $10.96	Professional		$6.03	$6.03	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $354.81	Facility		$77.62	$186.21	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.76 / $6.76	Facility		$6.31	$6.76	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.47 / $23.44	Facility		$6.76	$10.47	$23.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $69.18	Professional		$6.03	$6.03	$69.18
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 $6.76 / $10.00 / $26.30	Facility		$6.76	$10.00	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $15.14	Professional		$8.32	$8.32	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76