Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Facility		$17.10	$17.10	$17.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
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 $58.99 / $58.99 / $203.99	Professional		$58.99	$58.99	$203.99
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 $282.45 / $282.45 / $282.45	Professional		$282.45	$282.45	$282.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $48.54	Facility		$17.10	$17.10	$48.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $17.10 / $48.54	Facility		$17.10	$17.10	$48.54
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $40.50	Professional		$30.00	$30.00	$40.50