Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Professional		$64.00	$64.00	$64.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.29 / $262.27 / $462.33	Facility		$105.29	$262.27	$462.33
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 $64.00 / $83.20 / $181.66	Facility		$64.00	$83.20	$181.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $83.20 / $181.66	Facility		$64.00	$83.20	$181.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.34 / $18.01	Professional		$13.34	$13.34	$18.01