Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $21.77 / $31.00	Facility		$14.21	$21.77	$31.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.37 / $19.52	Professional		$14.23	$14.37	$19.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Professional		$16.23	$16.23	$16.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $14.23 / $14.23	Facility		$13.43	$14.23	$14.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $20.35 / $20.96	Facility		$14.21	$20.35	$20.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $14.23 / $26.26	Professional		$10.66	$14.23	$26.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $14.23 / $20.55	Facility		$13.43	$14.23	$20.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.23 / $25.79	Professional		$13.45	$14.23	$25.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $15.94 / $15.94	Professional		$11.38	$15.94	$15.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $14.51 / $19.21	Professional		$14.21	$14.51	$19.21