Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.66 / $195.18 / $273.25	Facility		$175.66	$195.18	$273.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $195.18 / $195.18	Professional		$195.18	$195.18	$195.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.50 / $388.17 / $741.89	Facility		$143.50	$388.17	$741.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.58 / $183.57 / $215.97	Professional		$129.58	$183.57	$215.97
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 $118.94 / $148.68 / $636.46	Professional		$118.94	$148.68	$636.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $195.18 / $195.18	Facility		$122.94	$195.18	$195.18
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 / $195.18 / $434.18	Facility		$51.26	$195.18	$434.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $636.46 / $2,400,000.00	Professional		$250.00	$636.46	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.60 / $237.60 / $237.60	Professional		$237.60	$237.60	$237.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $453.25	Professional		$350.00	$350.00	$453.25