Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $303.83	Professional		$16.29	$16.29	$303.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $484.00 / $484.00	Professional		$484.00	$484.00	$484.00
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 $74.64 / $74.64 / $74.64	Professional		$74.64	$74.64	$74.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.11 / $381.11 / $381.11	Facility		$381.11	$381.11	$381.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $244.14 / $244.14 / $244.14	Professional		$244.14	$244.14	$244.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $159.02	Facility		$16.29	$16.29	$159.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $159.02	Facility		$16.29	$16.29	$159.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $281.33 / $281.33	Professional		$281.33	$281.33	$281.33
United Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $117.05 / $249.47	Professional		$117.05	$117.05	$249.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $198.98 / $268.62	Professional		$60.00	$198.98	$268.62