Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $36.31	Facility		$15.14	$26.30	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.95	Professional		$15.14	$15.14	$19.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $15.14	Facility		$14.13	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $36.31	Facility		$15.14	$18.62	$36.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $15.85	Professional		$14.13	$15.14	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Professional		$14.13	$14.13	$14.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.88 / $48.98	Facility		$15.14	$21.88	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $16.22	Professional		$15.49	$15.49	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.14 / $15.14	Facility		$14.79	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $16.98	Professional		$13.49	$16.98	$16.98