Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,162.28 / $3,235.94	Facility		$3,090.30	$3,162.28	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,090.30 / $3,467.37	Professional		$1,862.09	$3,090.30	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $17,378.01 / $17,378.01	Facility		$5,754.40	$17,378.01	$17,378.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,235.94 / $4,570.88	Facility		$562.34	$3,235.94	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $3,467.37	Professional		$1,905.46	$3,162.28	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $281.84 / $2,818.38	Professional		$81.28	$281.84	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $3,090.30 / $4,570.88	Facility		$10.00	$3,090.30	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $1,862.09	Professional		$1,445.44	$1,698.24	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,801.89	Professional		$2,187.76	$2,818.38	$3,801.89