Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $870.00	Facility		$58.28	$58.28	$870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $99.45	Professional		$58.28	$58.28	$99.45
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 $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $150.91	Professional		$110.00	$110.00	$150.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $178.61 / $178.61	Professional		$178.61	$178.61	$178.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $126.47	Facility		$58.28	$58.28	$126.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $131.13	Facility		$58.28	$58.28	$131.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $2,250,000.00 / $2,400,000.00	Professional		$114.90	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $137.36 / $137.36	Professional		$137.36	$137.36	$137.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $128.41 / $173.37	Professional		$30.00	$128.41	$173.37