Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.82 / $412.43 / $2,733.84	Facility		$331.82	$412.43	$2,733.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.57 / $412.43 / $429.48	Professional		$350.57	$412.43	$429.48
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 $444.80 / $444.80 / $444.80	Professional		$444.80	$444.80	$444.80
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 $73.18 / $120.00 / $120.00	Professional		$73.18	$120.00	$120.00
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 $168.32 / $168.32 / $168.32	Professional		$168.32	$168.32	$168.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $874.35	Facility		$412.43	$412.43	$874.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $874.35	Facility		$412.43	$412.43	$874.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $2,250,000.00 / $2,400,000.00	Professional		$120.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $174.73	Professional		$174.73	$174.73	$174.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $140.00 / $189.00	Professional		$30.00	$140.00	$189.00