Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.63 / $401.62 / $542.19	Facility		$128.63	$401.62	$542.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.62 / $401.62 / $401.62	Professional		$401.62	$401.62	$401.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $419.02 / $741.89	Facility		$143.50	$419.02	$741.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.95 / $337.09 / $396.58	Professional		$237.95	$337.09	$396.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $253.47 / $476.22	Facility		$46.85	$253.47	$476.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $350.01 / $1,156.51	Professional		$280.01	$350.01	$1,156.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $780.30 / $780.30	Facility		$494.00	$780.30	$780.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $360.06 / $401.62 / $513.00	Facility		$360.06	$401.62	$513.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59,999.40 / $59,999.40 / $59,999.40	Professional		$59,999.40	$59,999.40	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.26 / $401.62 / $570.33	Facility		$51.26	$401.62	$570.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $1,156.51 / $2,400,000.00	Professional		$335.00	$1,156.51	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $395.00	Professional		$350.00	$350.00	$395.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $54.83	Professional		$42.34	$42.34	$54.83