Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $487.58 / $658.23	Facility		$244.17	$487.58	$658.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $487.58 / $568.58	Professional		$400.00	$487.58	$568.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.64 / $1,699.28 / $3,247.79	Facility		$528.64	$1,699.28	$3,247.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $322.04 / $378.87	Professional		$193.22	$322.04	$378.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $1,049.10 / $2,273.81	Facility		$46.85	$1,049.10	$2,273.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $228.19 / $937.12	Professional		$182.55	$228.19	$937.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.00 / $968.40 / $968.40	Facility		$652.00	$968.40	$968.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,410.66 / $2,410.66 / $2,410.66	Professional		$2,410.66	$2,410.66	$2,410.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $487.58 / $1,371.94	Facility		$487.58	$487.58	$1,371.94
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 $125.99 / $487.58 / $1,551.21	Facility		$125.99	$487.58	$1,551.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $937.12 / $2,400,000.00	Professional		$550.00	$937.12	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $650.00	Professional		$300.00	$300.00	$650.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $540.00	Professional		$400.00	$400.00	$540.00