Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.96 / $540.96 / $1,116.11	Facility		$540.96	$540.96	$1,116.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.96 / $540.96 / $677.60	Professional		$540.96	$540.96	$677.60
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 $389.76 / $389.76 / $920.40	Professional		$389.76	$389.76	$920.40
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 $1,274.40 / $1,274.40 / $1,274.40	Professional		$1,274.40	$1,274.40	$1,274.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.08 / $542.08 / $1,149.21	Facility		$542.08	$542.08	$1,149.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.08 / $542.08 / $1,149.21	Facility		$542.08	$542.08	$1,149.21
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 $747.40 / $747.40 / $747.40	Professional		$747.40	$747.40	$747.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.06 / $266.06 / $359.18	Professional		$266.06	$266.06	$359.18