Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $11.73 / $24.96	Facility		$10.40	$11.73	$24.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $10.66 / $14.50	Professional		$10.40	$10.66	$14.50
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 $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Facility		$11.05	$11.05	$11.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
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 $10.40 / $14.87 / $17.66	Facility		$10.40	$14.87	$17.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $9.75 / $9.75	Professional		$9.75	$9.75	$9.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $15.24	Facility		$11.05	$11.05	$15.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $14.92	Professional		$11.05	$11.05	$14.92