Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $24.42 / $31.24	Facility		$14.34	$24.42	$31.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.48 / $19.76	Professional		$14.34	$14.48	$19.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $27.64 / $54.60	Facility		$10.92	$27.64	$54.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Professional		$15.45	$15.45	$15.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $14.34 / $14.34	Facility		$13.53	$14.34	$14.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
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 $10.46 / $14.48 / $21.12	Facility		$10.46	$14.48	$21.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $14.34 / $25.79	Professional		$10.59	$14.34	$25.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $14.34 / $20.71	Facility		$11.20	$14.34	$20.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.34 / $24.69	Professional		$13.45	$14.34	$24.69
United Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $16.05 / $16.05	Professional		$12.19	$16.05	$16.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $19.36	Professional		$13.64	$13.64	$19.36