Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $26.36 / $29.23	Facility		$26.36	$26.36	$29.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $29.11 / $32.50	Professional		$25.02	$29.11	$32.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $183.45 / $183.45	Facility		$61.94	$183.45	$183.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $209.82 / $209.82 / $291.75	Professional		$209.82	$209.82	$291.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $36.40 / $61.21	Facility		$28.11	$36.40	$61.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $32.29	Professional		$32.29	$32.29	$32.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $36.65 / $62.57	Facility		$28.27	$36.65	$62.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $41.80 / $53.92	Professional		$32.29	$41.80	$53.92
United Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $101.00 / $101.00	Professional		$101.00	$101.00	$101.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $49.95	Professional		$37.00	$37.00	$49.95