Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $295.12 / $295.12	Facility		$77.62	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $120.23	Professional		$77.62	$77.62	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $3,548.13	Facility		$48.98	$48.98	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $120.23 / $295.12	Facility		$77.62	$120.23	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $120.23	Professional		$77.62	$77.62	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $154.88	Facility		$77.62	$91.20	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12