Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $8.55 / $18.19	Facility		$7.58	$8.55	$18.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $7.77 / $10.57	Professional		$7.58	$7.77	$10.57
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
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $7.77	Professional		$7.77	$7.77	$7.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Facility		$3.79	$3.79	$3.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Professional		$3.79	$3.79	$3.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $95.00 / $100.00	Facility		$85.00	$95.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.92 / $9.58 / $11.59	Facility		$4.92	$9.58	$11.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $7.10 / $13.48	Professional		$7.03	$7.10	$13.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $11.11	Facility		$3.79	$3.79	$11.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $11.16	Professional		$3.79	$3.79	$11.16
United Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Professional		$3.79	$3.79	$3.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $3.79 / $5.12	Professional		$3.79	$3.79	$5.12