Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.37 / $300.37 / $332.91	Facility		$300.37	$300.37	$332.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.05 / $332.41 / $371.15	Professional		$285.05	$332.41	$371.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $669.47 / $3,728.65 / $3,728.65	Facility		$669.47	$3,728.65	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,390.37 / $2,390.37 / $3,160.73	Professional		$2,390.37	$2,390.37	$3,160.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $305.13 / $451.49 / $750.70	Facility		$305.13	$451.49	$750.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $349.52 / $349.52 / $349.52	Professional		$349.52	$349.52	$349.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $305.13 / $454.38 / $750.70	Facility		$305.13	$454.38	$750.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.52 / $578.08 / $614.15	Professional		$349.52	$578.08	$614.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $458.00 / $618.29	Professional		$458.00	$458.00	$618.29