Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $240.69 / $275.12	Facility		$85.00	$240.69	$275.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $363.86 / $363.86 / $363.86	Professional		$363.86	$363.86	$363.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.13 / $59.23 / $108.70	Facility		$46.13	$59.23	$108.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $51.50	Professional		$34.54	$34.54	$51.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $56.98 / $78.69	Facility		$40.72	$56.98	$78.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $37.20 / $52.89	Professional		$30.82	$37.20	$52.89
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $61.35 / $95.20	Professional		$45.95	$61.35	$95.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $66.95 / $72.95	Professional		$51.50	$66.95	$72.95