Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.44 / $52.48	Facility		$18.20	$23.44	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $4,265.80	Facility		$3,162.28	$3,548.13	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $36.31 / $104.71	Facility		$4.68	$36.31	$104.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $18.20 / $52.48	Facility		$5.01	$18.20	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $60,255.96 / $60,255.96	Professional		$5.01	$60,255.96	$60,255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $34.67 / $128.82	Facility		$5.25	$34.67	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $2,398,832.92	Professional		$79.43	$79.43	$2,398,832.92
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95