Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.13 / $4,265.80	Facility		$0.13	$0.13	$4,265.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.38 / $0.47	Professional		$0.38	$0.38	$0.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.41	Facility		$0.10	$0.10	$0.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.12	Professional		$0.09	$0.10	$0.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,754.23	Professional		$30.20	$30.20	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.41	Facility		$0.10	$0.10	$0.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $79.43	Professional		$0.09	$0.10	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.12	Facility		$0.05	$0.05	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.12 / $0.12	Professional		$0.05	$0.12	$0.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Professional		$0.12	$0.12	$0.12