Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $27.73 / $27.73	Facility		$27.73	$27.73	$27.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $27.73	Professional		$27.73	$27.73	$27.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.56 / $101.93 / $174.28	Facility		$39.56	$101.93	$174.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $178.20	Facility		$100.00	$100.00	$178.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $36.04 / $78.70	Facility		$27.73	$36.04	$78.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $35.92 / $78.70	Facility		$27.73	$35.92	$78.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $18.01	Professional		$13.34	$13.34	$18.01