Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $316.23 / $446.68	Facility		$52.48	$316.23	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $457.09	Professional		$295.12	$316.23	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $218.78	Professional		$131.83	$131.83	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $83.18 / $151.36	Facility		$38.90	$83.18	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.75 / $446.68	Professional		$2.45	$2.75	$446.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $446.68	Facility		$263.03	$316.23	$446.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $457.09	Professional		$251.19	$316.23	$457.09
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 $40.74 / $177.83 / $316.23	Facility		$40.74	$177.83	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $446.68 / $2,398,832.92	Professional		$79.43	$446.68	$2,398,832.92
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $165.96	Facility		$79.43	$91.20	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $281.84	Professional		$165.96	$165.96	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66