Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $26.89	Facility		$26.62	$26.62	$26.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.89 / $27.58	Professional		$26.62	$26.89	$27.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $29.90 / $29.90	Professional		$29.90	$29.90	$29.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.62 / $26.62	Facility		$25.12	$26.62	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $126.78 / $126.78	Facility		$75.00	$126.78	$126.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $38.07 / $39.21	Facility		$26.89	$38.07	$39.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $25.07 / $26.62	Professional		$25.07	$25.07	$26.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.62 / $38.45	Facility		$25.12	$26.62	$38.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $28.72 / $35.94	Professional		$26.62	$28.72	$35.94