Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $725.59 / $777.27	Facility		$206.72	$725.59	$777.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $206.72 / $206.72	Professional		$206.72	$206.72	$206.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $295.61 / $586.75	Facility		$206.72	$295.61	$586.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $206.72 / $295.61 / $586.75	Facility		$206.72	$295.61	$586.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $51.81 / $69.94	Professional		$51.81	$51.81	$69.94