Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.08 / $1,052.08 / $1,052.08	Facility		$1,052.08	$1,052.08	$1,052.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.10 / $1,052.08 / $1,052.08	Professional		$687.10	$1,052.08	$1,052.08
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 $595.87 / $595.87 / $1,056.61	Professional		$595.87	$595.87	$1,056.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,892.80	Facility		$100.00	$100.00	$1,892.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,463.01 / $1,463.01 / $1,463.01	Professional		$1,463.01	$1,463.01	$1,463.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $719.19 / $1,052.08 / $2,230.41	Facility		$719.19	$1,052.08	$2,230.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $719.19 / $1,052.08 / $2,230.41	Facility		$719.19	$1,052.08	$2,230.41
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 $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.71 / $615.69 / $831.18	Professional		$456.71	$615.69	$831.18