Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $31.00	Professional		$26.00	$26.00	$31.00
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 $5.07 / $5.07 / $5.07	Professional		$5.07	$5.07	$5.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $1.41	Professional		$1.12	$1.12	$1.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $0.68 / $0.68	Professional		$0.51	$0.68	$0.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03