Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $22.39 / $346.74	Facility		$10.72	$22.39	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.88	Professional		$10.00	$10.00	$12.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $30.90 / $58.88	Facility		$12.88	$30.90	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.49 / $269.15	Facility		$10.72	$15.49	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.96	Professional		$10.00	$10.00	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $33.88 / $104.71	Facility		$10.72	$33.88	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $33.88 / $33.88	Professional		$11.48	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72