Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.88 / $44.67	Facility		$18.20	$33.88	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $23.99	Professional		$18.20	$18.20	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.90 / $58.88	Facility		$12.30	$30.90	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $18.20	Facility		$17.38	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $100.00	Facility		$91.20	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $44.67	Facility		$18.20	$21.88	$44.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $20.89	Professional		$15.14	$18.20	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $18.20	Professional		$17.78	$17.78	$18.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.30 / $60.26	Facility		$18.20	$26.30	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $19.95	Professional		$18.62	$18.62	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $20.42	Professional		$16.60	$20.42	$20.42