Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $6.30 / $1,368.50	Facility		$3.48	$6.30	$1,368.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.51 / $5.55	Professional		$3.48	$3.51	$5.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $26.22 / $52.32	Facility		$10.36	$26.22	$52.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.48 / $3.48	Facility		$3.28	$3.48	$3.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Professional		$3.48	$3.48	$3.48
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 $3.43 / $5.01 / $10.33	Facility		$3.43	$5.01	$10.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.48 / $6.55	Professional		$2.57	$3.48	$6.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $3.48 / $9.66	Facility		$3.28	$3.48	$9.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.48 / $5.87	Professional		$3.06	$3.48	$5.87
United Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.48 / $3.48	Professional		$3.48	$3.48	$3.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.62 / $4.70	Professional		$3.43	$3.62	$4.70