Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Facility		$224.00	$224.00	$224.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.03 / $854.03 / $854.03	Professional		$854.03	$854.03	$854.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $6.92 / $13.55	Professional		$5.88	$6.92	$13.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $55.01 / $68.55	Facility		$55.01	$55.01	$68.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $854.03 / $854.03 / $913.81	Facility		$854.03	$854.03	$913.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $68.55 / $854.03	Facility		$55.01	$68.55	$854.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $21.35 / $28.82	Professional		$21.35	$21.35	$28.82