Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $17.51 / $22.40	Facility		$10.14	$17.51	$22.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.24 / $14.18	Professional		$10.14	$10.24	$14.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $14.12 / $28.15	Facility		$5.58	$14.12	$28.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $11.42	Professional		$11.42	$11.42	$11.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $10.14 / $10.14	Facility		$9.57	$10.14	$10.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14
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 $6.60 / $10.14 / $14.93	Facility		$6.60	$10.14	$14.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $10.14 / $18.18	Professional		$7.60	$10.14	$18.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.09 / $10.14 / $14.64	Facility		$8.09	$10.14	$14.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $10.14 / $17.70	Professional		$9.48	$10.14	$17.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $10.14 / $10.14	Professional		$10.14	$10.14	$10.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.69	Professional		$9.77	$9.77	$13.69