Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Facility		$184.38	$184.38	$184.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.38 / $184.38 / $184.38	Professional		$184.38	$184.38	$184.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.11 / $329.58 / $576.48	Facility		$128.11	$329.58	$576.48
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 $87.73 / $87.73 / $87.73	Professional		$87.73	$87.73	$87.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $239.69 / $523.34	Facility		$184.38	$239.69	$523.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $184.38 / $221.34 / $523.34	Facility		$184.38	$221.34	$523.34