Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.26 / $44.26 / $49.09	Facility		$44.26	$44.26	$49.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $44.96 / $54.55	Professional		$40.56	$44.96	$54.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.65 / $169.00 / $169.00	Professional		$143.65	$169.00	$169.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104.80 / $5,062.89 / $5,062.89	Facility		$104.80	$5,062.89	$5,062.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $352.42 / $352.42 / $518.48	Professional		$352.42	$352.42	$518.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $54.55 / $104.83	Facility		$42.42	$54.55	$104.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $57.37 / $57.37	Professional		$57.37	$57.37	$57.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $57.60 / $57.60	Professional		$57.60	$57.60	$57.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.65 / $54.55 / $105.04	Facility		$42.65	$54.55	$105.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $57.48 / $2,250,000.00	Professional		$57.37	$57.48	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $157.00	Professional		$100.00	$100.00	$157.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $82.35	Professional		$61.00	$61.00	$82.35