Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.38 / $29.51	Facility		$12.02	$21.38	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.49	Professional		$12.02	$12.02	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $12.02 / $12.02	Facility		$11.48	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $85.11	Facility		$79.43	$85.11	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $29.51	Facility		$12.02	$15.14	$29.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.02 / $15.14	Professional		$11.75	$12.02	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.30	Professional		$12.02	$12.02	$12.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.38 / $38.90	Facility		$12.02	$17.38	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $13.18	Professional		$12.30	$12.30	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02