Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Facility		$11.34	$11.34	$11.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $11.34	Professional		$11.34	$11.34	$11.34
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 $40.74 / $47.93 / $47.93	Professional		$40.74	$47.93	$47.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $28.64 / $28.64	Facility		$28.64	$28.64	$28.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $229.35 / $229.35	Facility		$100.00	$229.35	$229.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $16.22 / $39.74	Facility		$11.34	$16.22	$39.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $16.22 / $39.74	Facility		$11.34	$16.22	$39.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
United Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $27.45 / $39.95	Professional		$19.61	$27.45	$39.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $68.84	Professional		$51.00	$51.00	$68.84