Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.17 / $273.45 / $369.16	Facility		$244.17	$273.45	$369.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.44 / $273.45 / $273.45	Professional		$273.44	$273.45	$273.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $119.68 / $140.80	Professional		$56.32	$119.68	$140.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $467.92 / $944.31	Facility		$46.85	$467.92	$944.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.48 / $784.48 / $784.48	Professional		$784.48	$784.48	$784.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $273.45 / $273.45	Facility		$216.00	$273.45	$273.45
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 / $273.45 / $795.83	Facility		$51.26	$273.45	$795.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $784.48 / $2,400,000.00 / $2,400,000.00	Professional		$784.48	$2,400,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $220.81 / $356.94	Facility		$22.73	$220.81	$356.94
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