Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $29.31 / $6,459.12	Facility		$15.11	$29.31	$6,459.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.26 / $21.10	Professional		$15.11	$15.26	$21.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $27.63 / $55.14	Facility		$10.36	$27.63	$55.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $14.77 / $14.77	Professional		$14.77	$14.77	$14.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $15.11 / $15.11	Facility		$14.26	$15.11	$15.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
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 $9.96 / $15.26 / $22.25	Facility		$9.96	$15.26	$22.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $15.11 / $27.56	Professional		$11.31	$15.11	$27.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $15.11 / $21.82	Facility		$12.49	$15.11	$21.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $15.11 / $26.66	Professional		$14.37	$15.11	$26.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $20.39	Professional		$14.73	$14.73	$20.39