Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $3,682.00 / $10,893.00	Facility		$657.00	$3,682.00	$10,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $10,234.00	Professional		$40.00	$40.00	$10,234.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $60.92 / $116.33	Facility		$25.06	$60.92	$116.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $28.59 / $137.00	Facility		$18.26	$28.59	$137.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $28.26 / $104.27	Facility		$18.26	$28.26	$104.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00