Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.15 / $67.15	Professional		$67.15	$67.15	$67.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $5.81	Professional		$5.81	$5.81	$5.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.72 / $30.72	Professional		$26.11	$30.72	$30.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $186.11 / $200.43	Facility		$100.00	$186.11	$200.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $67.15 / $67.15	Facility		$67.15	$67.15	$67.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $80.83 / $80.83	Professional		$80.83	$80.83	$80.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $67.15 / $67.15	Facility		$30.72	$67.15	$67.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $30.72 / $30.72	Professional		$26.11	$30.72	$30.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Professional		$17.71	$17.71	$17.71