Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.64 / $228.64 / $253.41	Facility		$228.64	$228.64	$253.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.97 / $247.87 / $303.37	Professional		$216.97	$247.87	$303.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $522.26 / $3,728.65 / $3,728.65	Facility		$522.26	$3,728.65	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.54 / $1,819.54 / $2,338.50	Professional		$1,819.54	$1,819.54	$2,338.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $256.42 / $368.97 / $585.44	Facility		$256.42	$368.97	$585.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $258.61 / $258.61	Professional		$258.61	$258.61	$258.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.41 / $373.03 / $585.44	Facility		$253.41	$373.03	$585.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.61 / $467.49 / $2,400,000.00	Professional		$258.61	$467.49	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.00 / $932.00 / $932.00	Professional		$932.00	$932.00	$932.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $439.00 / $592.65	Professional		$439.00	$439.00	$592.65