Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $74.13	Facility		$36.31	$57.54	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $51.29 / $95.50	Facility		$20.89	$51.29	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $36.31 / $36.31	Facility		$34.67	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $74.13	Facility		$36.31	$45.71	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $39.81	Professional		$26.92	$36.31	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Professional		$33.88	$33.88	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $52.48 / $114.82	Facility		$21.88	$52.48	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $39.81	Professional		$36.31	$36.31	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $36.31 / $36.31	Facility		$35.48	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31