Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $299.83 / $404.78	Facility		$244.17	$299.83	$404.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $299.83 / $299.83	Professional		$299.83	$299.83	$299.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.81 / $205.81 / $343.01	Professional		$205.81	$205.81	$343.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $92.13 / $299.49	Facility		$29.28	$92.13	$299.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $136.81 / $240.00	Professional		$109.45	$136.81	$240.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $431.00 / $560.70 / $560.70	Facility		$431.00	$560.70	$560.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.32 / $299.83 / $381.65	Facility		$265.32	$299.83	$381.65
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 $41.43 / $265.32 / $381.65	Facility		$41.43	$265.32	$381.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $2,400,000.00	Professional		$240.00	$240.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.40 / $389.40 / $389.40	Professional		$389.40	$389.40	$389.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $139.86	Professional		$108.00	$108.00	$139.86