Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $26.52 / $56.45	Facility		$23.52	$26.52	$56.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $24.11 / $32.59	Professional		$23.52	$24.11	$32.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $24.99	Professional		$24.99	$24.99	$24.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Facility		$24.50	$24.50	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $100.00 / $100.00	Facility		$95.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $24.11 / $34.47	Facility		$16.30	$24.11	$34.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $22.05 / $22.05	Professional		$22.05	$22.05	$22.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $24.50 / $34.47	Facility		$24.11	$24.50	$34.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $29.40 / $29.40	Professional		$29.40	$29.40	$29.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $33.08	Professional		$24.50	$24.50	$33.08