Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.00 / $2,467.00 / $7,542.00	Facility		$689.00	$2,467.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $2,901.00	Professional		$188.00	$188.00	$2,901.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,845.00 / $5,646.00 / $8,585.00	Facility		$1,845.00	$5,646.00	$8,585.00
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 $188.00 / $188.00 / $188.00	Facility		$188.00	$188.00	$188.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Facility		$188.00	$188.00	$188.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $952.00 / $2,405.00	Facility		$161.00	$952.00	$2,405.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.60	Professional		$16.00	$16.00	$21.60