Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $62.69 / $67.15	Facility		$17.86	$62.69	$67.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $17.86 / $17.86	Professional		$17.86	$17.86	$17.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $46.22 / $46.22	Professional		$46.22	$46.22	$46.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $18.55 / $37.86	Facility		$17.86	$18.55	$37.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $18.55 / $37.86	Facility		$17.64	$18.55	$37.86
United Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $21.01 / $21.01	Professional		$21.01	$21.01	$21.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.05 / $16.80	Professional		$11.89	$16.05	$16.80