Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Facility		$51.12	$51.12	$51.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Professional		$51.12	$51.12	$51.12
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 $51.12 / $66.45 / $145.10	Facility		$51.12	$66.45	$145.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $58.79 / $145.10	Facility		$51.12	$58.79	$145.10
United Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $55.50 / $59.45	Facility		$55.50	$55.50	$59.45