Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $1,804.63	Facility		$617.41	$617.41	$1,804.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $617.41 / $623.59	Professional		$617.41	$617.41	$623.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $357.00 / $357.00	Professional		$357.00	$357.00	$357.00
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 $653.35 / $653.35 / $744.63	Professional		$653.35	$653.35	$744.63
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 $1,031.02 / $1,031.02 / $1,031.02	Professional		$1,031.02	$1,031.02	$1,031.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $1,308.93	Facility		$617.41	$617.41	$1,308.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $617.41 / $617.41 / $1,308.93	Facility		$617.41	$617.41	$1,308.93
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 $1,080.70 / $1,080.70 / $1,080.70	Professional		$1,080.70	$1,080.70	$1,080.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $803.05 / $1,084.11	Professional		$500.00	$803.05	$1,084.11