Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $56.11 / $546.00	Facility		$50.64	$56.11	$546.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $52.85 / $62.42	Professional		$48.06	$52.85	$62.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $115.66 / $5,062.89 / $5,062.89	Facility		$115.66	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $402.94 / $402.94 / $572.40	Professional		$402.94	$402.94	$572.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $67.83 / $116.82	Facility		$52.18	$67.83	$116.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $63.33 / $63.33	Professional		$63.33	$63.33	$63.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $68.61 / $120.19	Facility		$52.18	$68.61	$120.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $76.48 / $2,250,000.00	Professional		$63.33	$76.48	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $113.00 / $186.00	Professional		$102.00	$113.00	$186.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $85.38 / $116.82	Professional		$80.79	$85.38	$116.82