Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $217.46 / $293.57	Facility		$217.46	$217.46	$293.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.46 / $217.46 / $217.46	Professional		$217.46	$217.46	$217.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $130.56 / $153.60	Professional		$92.16	$130.56	$153.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $239.96 / $460.46	Facility		$46.19	$239.96	$460.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.39 / $217.46 / $217.46	Facility		$117.39	$217.46	$217.46
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 / $217.46 / $434.18	Facility		$51.26	$217.46	$434.18
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
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 $225.00 / $225.00 / $291.38	Professional		$225.00	$225.00	$291.38