Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $275.42 / $380.19	Facility		$52.48	$275.42	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $275.42	Professional		$213.80	$275.42	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $141.25 / $141.25	Professional		$56.23	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $436.52 / $954.99	Facility		$46.77	$436.52	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $275.42	Facility		$181.97	$275.42	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $295.12	Professional		$213.80	$275.42	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $275.42 / $891.25	Facility		$54.95	$275.42	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $776.25 / $2,398,832.92	Professional		$79.43	$776.25	$2,398,832.92
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $269.15 / $354.81	Facility		$239.88	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87