Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $2,598.00 / $7,542.00	Facility		$657.00	$2,598.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $35.18	Professional		$27.58	$27.58	$35.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.96 / $785.29 / $1,774.36	Facility		$462.96	$785.29	$1,774.36
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 $27.58 / $27.58 / $39.44	Facility		$27.58	$27.58	$39.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $27.58 / $39.44	Facility		$27.58	$27.58	$39.44
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