Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $186.03	Facility		$132.88	$132.88	$186.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Professional		$132.88	$132.88	$132.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.60 / $281.60 / $704.00	Professional		$281.60	$281.60	$704.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $89.40 / $153.40	Facility		$43.28	$89.40	$153.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.88 / $132.88 / $231.75	Facility		$132.88	$132.88	$231.75
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 $48.17 / $132.88 / $190.02	Facility		$48.17	$132.88	$190.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $194.25	Professional		$150.00	$150.00	$194.25