Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $4,007.00 / $19,096.00	Facility		$803.00	$4,007.00	$19,096.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $825.60	Professional		$688.00	$688.00	$825.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $2,140.46 / $20,572.43	Facility		$1,081.04	$2,140.46	$20,572.43
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 $688.00 / $688.00 / $1,952.82	Facility		$688.00	$688.00	$1,952.82
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 $688.00 / $1,952.82 / $36,462.00	Facility		$688.00	$1,952.82	$36,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $3,225.00 / $39,576.00	Facility		$432.00	$3,225.00	$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