Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.36 / $2.90 / $5.66	Facility		$2.36	$2.90	$5.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $2.42 / $2.73	Professional		$2.36	$2.42	$2.73
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 $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Facility		$1.73	$1.73	$1.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
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 $2.10 / $2.50 / $3.37	Facility		$2.10	$2.50	$3.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.50 / $2.95	Professional		$2.21	$2.50	$2.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $2.36 / $2.50	Facility		$1.73	$2.36	$2.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $2.50	Professional		$1.73	$1.73	$2.50
United Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $1.52 / $1.52	Professional		$1.13	$1.52	$1.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.37 / $1.85	Professional		$1.37	$1.37	$1.85