Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $6.78 / $13.20	Facility		$6.01	$6.78	$13.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.16 / $8.38	Professional		$6.01	$6.16	$8.38
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 $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Facility		$6.38	$6.38	$6.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $100.00	Facility		$95.00	$95.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $8.75 / $10.19	Facility		$6.01	$8.75	$10.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $5.63 / $5.63	Professional		$5.63	$5.63	$5.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.38 / $8.81	Facility		$6.38	$6.38	$8.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $6.38	Professional		$6.38	$6.38	$6.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $7.51	Professional		$7.51	$7.51	$7.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.38 / $8.61	Professional		$6.38	$6.38	$8.61