Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.72 / $308.72 / $308.72	Facility		$308.72	$308.72	$308.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.72 / $308.72 / $463.69	Professional		$308.72	$308.72	$463.69
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 $515.52 / $515.52 / $515.52	Facility		$515.52	$515.52	$515.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.14 / $430.14 / $604.84	Professional		$430.14	$430.14	$604.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,750.61 / $1,750.61	Facility		$100.00	$1,750.61	$1,750.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $837.48 / $837.48 / $837.48	Professional		$837.48	$837.48	$837.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $455.42 / $965.49	Facility		$455.42	$455.42	$965.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.42 / $455.42 / $965.49	Facility		$455.42	$455.42	$965.49
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 $440.40 / $440.40 / $636.29	Professional		$440.40	$440.40	$636.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $442.14 / $596.89	Professional		$30.00	$442.14	$596.89