Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.19 / $215.19 / $238.50	Facility		$215.19	$215.19	$238.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.20 / $238.50 / $265.20	Professional		$204.20	$238.50	$265.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $479.34 / $1,492.08 / $1,492.08	Facility		$479.34	$1,492.08	$1,492.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,712.50 / $1,712.50 / $2,372.17	Professional		$1,712.50	$1,712.50	$2,372.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $231.44 / $307.83 / $511.62	Facility		$231.44	$307.83	$511.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $262.39 / $262.39	Professional		$262.39	$262.39	$262.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.17 / $308.41 / $511.62	Facility		$232.17	$308.41	$511.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.39 / $356.73 / $2,250,000.00	Professional		$262.39	$356.73	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.00 / $991.00 / $991.00	Professional		$991.00	$991.00	$991.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $377.00 / $508.95	Professional		$377.00	$377.00	$508.95