Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,047.13 / $1,659.59	Facility		$398.11	$1,047.13	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,000.00 / $1,445.44	Facility		$398.11	$1,000.00	$1,445.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $2,398.83	Professional		$338.84	$338.84	$2,398.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $2,691.53	Professional		$588.84	$588.84	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,148.15 / $1,621.81	Facility		$346.74	$1,148.15	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $630.96 / $831.76	Facility		$323.59	$630.96	$831.76