Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.67 / $6.17	Facility		$3.63	$3.67	$6.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.67 / $5.67	Professional		$3.63	$3.67	$5.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $18.17 / $42.57	Facility		$8.31	$18.17	$42.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.63 / $3.63	Facility		$3.43	$3.63	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
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 $3.67 / $5.25 / $5.61	Facility		$3.67	$5.25	$5.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $4.21 / $16.11	Professional		$3.36	$4.21	$16.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.63 / $5.35	Facility		$3.43	$3.63	$5.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $6.44	Professional		$3.63	$3.63	$6.44
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.90 / $8.90	Professional		$3.63	$4.90	$8.90