Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $27.33 / $43.73	Facility		$16.54	$27.33	$43.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.71 / $25.25	Professional		$16.54	$16.71	$25.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $47.00 / $88.95	Facility		$18.57	$47.00	$88.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $7.56 / $7.56	Professional		$7.56	$7.56	$7.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $16.54 / $16.54	Facility		$15.60	$16.54	$16.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
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 $11.93 / $18.04 / $24.37	Facility		$11.93	$18.04	$24.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $16.54 / $29.90	Professional		$13.53	$16.54	$29.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $16.54 / $23.65	Facility		$14.26	$16.54	$23.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $16.54 / $25.09	Professional		$15.59	$16.54	$25.09
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $13.86 / $22.33	Professional		$13.86	$13.86	$22.33