Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $13.75 / $53.35	Facility		$10.58	$13.75	$53.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Professional		$10.58	$10.58	$10.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.49 / $163.25 / $244.51	Facility		$94.49	$163.25	$244.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $28.24 / $33.50	Professional		$20.10	$28.24	$33.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $89.40 / $164.24	Facility		$43.28	$89.40	$164.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.75 / $221.38	Professional		$19.00	$23.75	$221.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $15.13	Facility		$10.58	$10.58	$15.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $59,999.40 / $59,999.40	Professional		$11.78	$59,999.40	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $33.61 / $158.05	Facility		$10.58	$33.61	$158.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $2,400,000.00 / $2,400,000.00	Professional		$11.78	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $82.50	Professional		$82.50	$82.50	$82.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $32.38	Professional		$25.00	$25.00	$32.38