Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $707.53	Facility		$171.15	$171.15	$707.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.15 / $171.15 / $289.19	Professional		$171.15	$171.15	$289.19
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 $46.24 / $54.40 / $54.40	Professional		$46.24	$54.40	$54.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.84 / $445.60 / $533.88	Professional		$204.84	$445.60	$533.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $324.14	Facility		$100.00	$100.00	$324.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Professional		$427.26	$427.26	$427.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $171.15 / $392.08	Facility		$171.15	$171.15	$392.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $174.57 / $462.70	Facility		$171.15	$174.57	$462.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.38 / $316.12 / $387.96	Professional		$287.38	$316.12	$387.96