Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $7.08 / $1,819.70	Facility		$4.07	$7.08	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $5.37	Professional		$3.98	$3.98	$5.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $9.12 / $16.98	Facility		$3.72	$9.12	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.07 / $4.07	Facility		$3.80	$4.07	$4.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.01 / $14.13	Facility		$3.98	$5.01	$14.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $4.07	Professional		$3.98	$3.98	$4.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $4.07	Professional		$3.98	$3.98	$4.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $5.75 / $12.88	Facility		$3.72	$5.75	$12.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.37	Professional		$4.07	$4.07	$4.37
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07