Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $3.59 / $4.92	Facility		$2.22	$3.59	$4.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.25 / $3.16	Professional		$2.22	$2.25	$3.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $5.62 / $10.63	Facility		$2.22	$5.62	$10.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $2.24	Professional		$2.24	$2.24	$2.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.22 / $2.22	Facility		$2.10	$2.22	$2.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $85.00 / $85.00	Facility		$75.00	$85.00	$85.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $3.17 / $3.27	Facility		$2.25	$3.17	$3.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.22 / $4.09	Professional		$1.70	$2.22	$4.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.22 / $3.22	Facility		$2.10	$2.22	$3.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.22 / $3.96	Professional		$2.14	$2.22	$3.96
United Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $3.00	Professional		$2.19	$2.19	$3.00