Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Facility		$18.05	$18.05	$18.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.05	Professional		$18.05	$18.05	$18.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $262.37 / $262.37	Professional		$262.37	$262.37	$262.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.59 / $115.59 / $115.59	Facility		$115.59	$115.59	$115.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $51.23	Facility		$18.05	$18.05	$51.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $18.05 / $51.23	Facility		$18.05	$18.05	$51.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $24.51	Professional		$17.51	$17.51	$24.51