Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,511.89 / $7,585.78	Facility		$870.96	$2,511.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,698.24 / $4,365.16	Professional		$575.44	$1,698.24	$4,365.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $602.56	Facility		$144.54	$275.42	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $56.23	Facility		$54.95	$56.23	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,238.72 / $6,918.31	Facility		$630.96	$2,238.72	$6,918.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,698.24 / $6,165.95	Professional		$575.44	$1,698.24	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,187.76	Facility		$1,698.24	$1,698.24	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53