Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Facility		$45.76	$45.76	$45.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Professional		$45.76	$45.76	$45.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $160.57 / $308.55	Facility		$58.56	$160.57	$308.55
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 $54.40 / $54.40 / $54.40	Professional		$54.40	$54.40	$54.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $59.49 / $129.88	Facility		$45.76	$59.49	$129.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $59.49 / $129.88	Facility		$45.76	$59.49	$129.88