Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.93 / $16.36	Facility		$4.09	$6.93	$16.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.15 / $5.72	Professional		$4.09	$4.15	$5.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.68 / $9.31 / $18.57	Facility		$3.68	$9.31	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $4.09 / $4.09	Facility		$3.87	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
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 $2.10 / $4.09 / $6.05	Facility		$2.10	$4.09	$6.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.09 / $7.61	Professional		$3.07	$4.09	$7.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $4.09 / $5.86	Facility		$2.52	$4.09	$5.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $4.09 / $7.17	Professional		$3.97	$4.09	$7.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $5.54	Professional		$3.96	$3.96	$5.54