Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $45.65 / $62.84	Facility		$28.61	$45.65	$62.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.90 / $49.90	Professional		$28.61	$28.90	$49.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $31.51 / $64.56	Facility		$11.98	$31.51	$64.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $19.97 / $19.97	Professional		$19.97	$19.97	$19.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $28.61 / $28.61	Facility		$26.99	$28.61	$28.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $168.40 / $255.00 / $255.00	Facility		$168.40	$255.00	$255.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $40.90 / $141.61	Facility		$28.90	$40.90	$141.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $28.73 / $55.12	Professional		$23.10	$28.73	$55.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $28.61 / $59.95	Facility		$26.99	$28.61	$59.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $45.90	Professional		$28.61	$28.61	$45.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $25.36 / $38.61	Professional		$25.36	$25.36	$38.61