Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $13.17 / $27.96	Facility		$11.11	$13.17	$27.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.65 / $18.72	Professional		$11.11	$11.65	$18.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $100.00 / $100.00	Facility		$26.35	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $13.81 / $30.15	Facility		$8.40	$13.81	$30.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $13.13 / $24.03	Professional		$12.53	$13.13	$24.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $30.15 / $30.15	Facility		$11.72	$30.15	$30.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $30.15 / $30.15	Professional		$13.13	$30.15	$30.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $17.50	Professional		$17.50	$17.50	$17.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $20.09	Professional		$14.88	$14.88	$20.09