Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $10.47 / $12.88	Facility		$3.98	$10.47	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.08	Professional		$3.98	$3.98	$7.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $19.95 / $38.90	Facility		$8.32	$19.95	$38.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.79 / $4.79	Facility		$4.47	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.76 / $11.48	Facility		$4.79	$6.76	$11.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.08	Professional		$3.98	$3.98	$7.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.17	Professional		$6.03	$6.03	$6.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $6.61 / $26.92	Facility		$4.17	$6.61	$26.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $5.37	Professional		$3.72	$3.72	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $5.75	Facility		$4.79	$4.79	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79