Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.15 / $188.43 / $381.13	Facility		$182.15	$188.43	$381.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $253.97 / $477.23	Professional		$151.59	$253.97	$477.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.23 / $522.66 / $5,456.92	Facility		$260.23	$522.66	$5,456.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $40.64 / $107.82	Facility		$4.68	$40.64	$107.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,895.32 / $1,895.32 / $1,895.32	Facility		$1,895.32	$1,895.32	$1,895.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,960.00 / $1,960.00 / $59,999.40	Professional		$1,960.00	$1,960.00	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $34.49 / $128.28	Facility		$4.78	$34.49	$128.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $52.50 / $52.50	Professional		$52.50	$52.50	$52.50