Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $33.02 / $72.77	Facility		$30.02	$33.02	$72.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $30.32 / $38.99	Professional		$28.80	$30.32	$38.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $71.68 / $143.02	Facility		$28.32	$71.68	$143.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $28.54 / $28.54	Professional		$28.54	$28.54	$28.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Facility		$28.88	$28.88	$28.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $150.10 / $150.10	Facility		$75.00	$150.10	$150.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $30.02 / $39.84	Facility		$18.19	$30.02	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $25.49 / $25.49	Professional		$25.49	$25.49	$25.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $44.22	Facility		$28.88	$28.88	$44.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $28.32	Professional		$28.32	$28.32	$28.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $38.22	Professional		$28.32	$28.32	$38.22