Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $988.26 / $1,334.15	Facility		$244.17	$988.26	$1,334.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.25 / $988.26 / $988.26	Professional		$988.25	$988.26	$988.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.50 / $547.50 / $912.50	Professional		$547.50	$547.50	$912.50
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 $736.38 / $920.47 / $1,481.71	Professional		$736.38	$920.47	$1,481.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $988.26 / $1,170.40	Facility		$814.00	$988.26	$1,170.40
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 / $602.41 / $988.26	Facility		$51.26	$602.41	$988.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $1,481.71 / $2,400,000.00	Professional		$800.00	$1,481.71	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,430.00 / $1,430.00 / $1,430.00	Professional		$1,430.00	$1,430.00	$1,430.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,165.50	Professional		$900.00	$900.00	$1,165.50