Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $36.31	Facility		$15.14	$28.84	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.05	Professional		$15.14	$15.14	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $34.67 / $69.18	Facility		$15.14	$34.67	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $15.14	Facility		$14.13	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $30.90	Facility		$15.14	$15.14	$30.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Professional		$15.14	$15.14	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.38 / $46.77	Facility		$15.14	$21.38	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $16.22	Professional		$15.14	$15.14	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14