Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $50.00	Professional		$10.19	$10.19	$50.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00