Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $13.10 / $27.89	Facility		$11.62	$13.10	$27.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.91 / $16.66	Professional		$11.62	$11.91	$16.66
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $226.89 / $251.95	Facility		$100.00	$226.89	$251.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $13.52 / $17.03	Facility		$11.62	$13.52	$17.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $10.89	Professional		$10.89	$10.89	$10.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $14.52 / $17.03	Facility		$12.08	$14.52	$17.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
United Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $14.52 / $14.52	Professional		$13.07	$14.52	$14.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $19.60	Professional		$14.52	$14.52	$19.60