Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $57.17 / $63.41	Facility		$57.17	$57.17	$63.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $59.29 / $70.45	Professional		$54.26	$59.29	$70.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $131.75 / $410.31 / $410.31	Facility		$131.75	$410.31	$410.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $621.45 / $638.48 / $652.20	Professional		$621.45	$638.48	$652.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $70.45 / $142.66	Facility		$53.98	$70.45	$142.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $72.09 / $72.09	Professional		$72.09	$72.09	$72.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $70.45 / $142.66	Facility		$53.98	$70.45	$142.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $84.08 / $2,250,000.00	Professional		$72.09	$84.08	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $71.00 / $95.85	Professional		$71.00	$71.00	$95.85