Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $58.88	Professional		$30.90	$33.11	$58.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $39.81	Professional		$33.11	$35.48	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $38.02	Professional		$35.48	$35.48	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $47.86	Facility		$39.81	$40.74	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $74.13	Facility		$37.15	$56.23	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $54.95	Professional		$30.90	$38.02	$54.95