Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.03 / $181.97	Facility		$3.02	$6.03	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.63	Professional		$3.02	$3.02	$3.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $7.76 / $14.79	Facility		$3.09	$7.76	$14.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
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 $3.02 / $4.79 / $11.48	Facility		$3.02	$4.79	$11.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.79 / $10.23	Facility		$3.24	$4.79	$10.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Professional		$3.16	$3.16	$3.16