Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $8.00 / $21.56	Facility		$6.25	$8.00	$21.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.40 / $7.12	Professional		$6.25	$6.40	$7.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Facility		$4.82	$4.82	$4.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $4.82	Professional		$4.82	$4.82	$4.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $95.00 / $100.00	Facility		$95.00	$95.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $6.64 / $6.64	Facility		$0.41	$6.64	$6.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $6.64 / $7.81	Professional		$5.86	$6.64	$7.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $5.14 / $6.64	Facility		$4.82	$5.14	$6.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $6.64	Professional		$4.82	$4.82	$6.64
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03