Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $253.60 / $253.60	Professional		$182.40	$253.60	$253.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $71.12 / $71.12	Professional		$71.12	$71.12	$71.12
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 $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Facility		$253.60	$253.60	$253.60
United Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $35.50 / $35.50	Professional		$35.50	$35.50	$35.50