Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $19.01 / $230.16	Facility		$10.62	$19.01	$230.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.72 / $13.40	Professional		$10.62	$10.72	$13.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $31.49 / $62.82	Facility		$12.94	$31.49	$62.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.27 / $34.96	Professional		$14.27	$14.27	$34.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Facility		$33.45	$33.45	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $1,516.24 / $1,516.24	Facility		$85.00	$1,516.24	$1,516.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $15.19 / $27.90	Facility		$10.62	$15.19	$27.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $10.09 / $19.22	Professional		$7.96	$10.09	$19.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $33.45 / $33.45	Facility		$10.72	$33.45	$33.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $33.45 / $33.45	Professional		$10.09	$33.45	$33.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $14.34	Professional		$10.62	$10.62	$14.34