Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $23.73 / $50.52	Facility		$21.05	$23.73	$50.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.57 / $30.19	Professional		$21.05	$21.57	$30.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $109.76 / $113.76	Facility		$39.84	$109.76	$113.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $26.91 / $30.85	Facility		$21.05	$26.91	$30.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $19.73 / $36.36	Professional		$18.95	$19.73	$36.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $30.85	Facility		$21.05	$21.05	$30.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $21.05 / $30.09	Professional		$19.73	$21.05	$30.09
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $28.42	Professional		$21.05	$21.05	$28.42