Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $23.28 / $23.28	Facility		$22.34	$23.28	$23.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.34 / $23.28	Professional		$18.62	$22.34	$23.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $40.04 / $78.98	Facility		$15.64	$40.04	$78.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $15.45 / $15.45	Professional		$15.45	$15.45	$15.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Facility		$17.52	$17.52	$17.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $100.00 / $100.00	Facility		$23.77	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $22.34 / $33.29	Facility		$17.69	$22.34	$33.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Professional		$11.31	$11.31	$11.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $31.95	Facility		$17.52	$17.52	$31.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $21.97 / $21.97	Professional		$17.69	$21.97	$21.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $23.87	Professional		$17.00	$17.00	$23.87