Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $85.19 / $94.41	Facility		$85.19	$85.19	$94.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $93.50 / $104.99	Professional		$80.84	$93.50	$104.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $193.57 / $1,281.80 / $1,281.80	Facility		$193.57	$1,281.80	$1,281.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $677.88 / $677.88 / $958.58	Professional		$677.88	$677.88	$958.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $115.63 / $196.85	Facility		$90.86	$115.63	$196.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $105.95 / $105.95	Professional		$105.95	$105.95	$105.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.26 / $119.27 / $202.16	Facility		$91.26	$119.27	$202.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $156.75 / $2,400,000.00	Professional		$105.95	$156.75	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $308.00	Professional		$308.00	$308.00	$308.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.00 / $139.00 / $187.65	Professional		$139.00	$139.00	$187.65