Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,840.00 / $7,542.00	Facility		$803.00	$2,840.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $3,837.00	Professional		$1,575.67	$1,575.67	$3,837.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,509.15 / $2,596.38 / $5,572.00	Facility		$1,509.15	$2,596.38	$5,572.00
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 $1,575.67 / $1,575.67 / $1,575.67	Facility		$1,575.67	$1,575.67	$1,575.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,330.00 / $3,330.00 / $3,879.00	Professional		$3,330.00	$3,330.00	$3,879.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,575.67 / $1,575.67 / $1,575.67	Facility		$1,575.67	$1,575.67	$1,575.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,250,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,250,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,100.00 / $4,562.00	Facility		$597.00	$2,100.00	$4,562.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.60	Professional		$16.00	$16.00	$21.60