Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $145.35	Facility		$80.06	$80.06	$145.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $80.06 / $90.65	Professional		$80.06	$80.06	$90.65
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 $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $78.17 / $101.34	Professional		$78.17	$78.17	$101.34
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 $175.50 / $175.50 / $175.50	Professional		$175.50	$175.50	$175.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $169.73	Facility		$80.06	$80.06	$169.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.06 / $80.06 / $169.73	Facility		$80.06	$80.06	$169.73
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 Facility Modifier Low / Median / High Price $117.84 / $117.84 / $126.21	Facility		$117.84	$117.84	$126.21
United Facility/Professional Professional Modifier Low / Median / High Price $79.29 / $79.29 / $79.29	Professional		$79.29	$79.29	$79.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $74.37 / $100.40	Professional		$30.00	$74.37	$100.40