Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $142.60	Facility		$85.03	$85.03	$142.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $197.44	Professional		$85.03	$85.03	$197.44
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $80.00 / $80.00	Professional		$67.23	$80.00	$80.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $540.32 / $540.32	Facility		$100.00	$540.32	$540.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $631.91 / $631.91	Professional		$631.91	$631.91	$631.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $157.94 / $334.85	Facility		$157.94	$157.94	$334.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $161.11 / $355.39	Facility		$157.94	$161.11	$355.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $2,250,000.00 / $2,400,000.00	Professional		$80.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $89.89 / $89.89	Professional		$89.89	$89.89	$89.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $89.77 / $121.19	Professional		$76.12	$89.77	$121.19