Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $190.83 / $190.83	Professional		$190.83	$190.83	$190.83
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 $290.63 / $290.63 / $305.33	Facility		$290.63	$290.63	$305.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.83 / $290.63 / $305.33	Facility		$190.83	$290.63	$305.33