Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $257.93 / $4,200.00	Facility		$171.96	$257.93	$4,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.52 / $171.96 / $171.96	Professional		$168.52	$171.96	$171.96
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 $93.32 / $93.32 / $354.90	Professional		$93.32	$93.32	$354.90
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 $491.40 / $491.40 / $491.40	Professional		$491.40	$491.40	$491.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $364.56	Facility		$171.96	$171.96	$364.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $171.96 / $382.90	Facility		$171.96	$171.96	$382.90
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 $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $115.45 / $296.88	Professional		$104.95	$115.45	$296.88