Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $780.96 / $1,093.33	Facility		$244.17	$780.96	$1,093.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.10 / $780.96 / $780.96	Professional		$734.10	$780.96	$780.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $426.55 / $757.68	Facility		$143.50	$426.55	$757.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.80 / $800.00 / $1,313.00	Professional		$787.80	$800.00	$1,313.00
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 $519.54 / $649.44 / $1,893.90	Professional		$519.54	$649.44	$1,893.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $753.33 / $780.96 / $1,116.77	Facility		$753.33	$780.96	$1,116.77
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 / $579.54 / $780.96	Facility		$51.26	$579.54	$780.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,200.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.00 / $925.00 / $1,347.50	Professional		$925.00	$925.00	$1,347.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,165.50	Professional		$900.00	$900.00	$1,165.50