Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $585.04	Facility		$585.04	$585.04	$585.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $585.04 / $603.50	Professional		$585.04	$585.04	$603.50
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 $603.87 / $603.87 / $603.87	Facility		$603.87	$603.87	$603.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.92 / $430.92 / $1,000.73	Professional		$430.92	$430.92	$1,000.73
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 $1,385.62 / $1,385.62 / $1,385.62	Professional		$1,385.62	$1,385.62	$1,385.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $1,660.58	Facility		$585.04	$585.04	$1,660.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $585.04 / $1,660.58	Facility		$585.04	$585.04	$1,660.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.97 / $477.97 / $683.77	Professional		$477.97	$477.97	$683.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $554.92 / $749.16	Professional		$30.00	$554.92	$749.16