Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $20.74 / $20.74	Facility		$19.91	$20.74	$20.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $19.91 / $20.74	Professional		$16.59	$19.91	$20.74
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 $10.81 / $10.81 / $10.81	Professional		$10.81	$10.81	$10.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $100.00	Facility		$85.00	$85.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $28.47 / $29.66	Facility		$19.91	$28.47	$29.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $28.47 / $29.66	Facility		$19.91	$28.47	$29.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
United Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $38.21 / $38.21	Professional		$30.76	$38.21	$38.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $13.00 / $15.71	Professional		$11.64	$13.00	$15.71