Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,258.93	Facility		$416.87	$524.81	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $588.84	Professional		$446.68	$524.81	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $3,235.94	Facility		$489.78	$1,698.24	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $562.34	Professional		$338.84	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $1,000.00 / $2,238.72	Facility		$46.77	$1,000.00	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $549.54	Professional		$109.65	$138.04	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $524.81 / $588.84	Facility		$467.74	$524.81	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $851.14	Professional		$446.68	$524.81	$851.14
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 $54.95 / $524.81 / $2,137.96	Facility		$54.95	$524.81	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $549.54 / $2,398,832.92	Professional		$79.43	$549.54	$2,398,832.92
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,258.93 / $1,659.59	Facility		$269.15	$1,258.93	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $2,511.89	Professional		$269.15	$269.15	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25