Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,504.00 / $15,532.17	Facility		$632.00	$3,504.00	$15,532.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $627.98 / $1,559.20	Professional		$627.98	$627.98	$1,559.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,752.00 / $10,256.00 / $15,308.00	Facility		$6,752.00	$10,256.00	$15,308.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,475.00 / $19,085.00 / $36,562.00	Facility		$12,475.00	$19,085.00	$36,562.00
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 $627.98 / $627.98 / $2,059.77	Facility		$627.98	$627.98	$2,059.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21,815.00 / $21,815.00 / $22,596.00	Professional		$21,815.00	$21,815.00	$22,596.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $1,782.46 / $36,462.00	Facility		$627.98	$1,782.46	$36,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $161.00 / $1,234.00 / $39,576.00	Facility		$161.00	$1,234.00	$39,576.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.60	Professional		$16.00	$16.00	$21.60