Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $71.36 / $76.44	Facility		$20.32	$71.36	$76.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $29.07 / $57.70	Facility		$20.32	$29.07	$57.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $29.07 / $57.70	Facility		$20.32	$29.07	$57.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $50.40 / $68.04	Professional		$50.40	$50.40	$68.04