Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Facility		$104.22	$104.22	$104.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Professional		$104.22	$104.22	$104.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.46 / $469.33 / $864.07	Facility		$196.46	$469.33	$864.07
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 $104.22 / $135.49 / $295.82	Facility		$104.22	$135.49	$295.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $135.49 / $295.82	Facility		$104.22	$135.49	$295.82