Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $166.91 / $185.01	Facility		$166.91	$166.91	$185.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $169.55 / $205.71	Professional		$135.66	$169.55	$205.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $405.45 / $3,728.65 / $3,728.65	Facility		$405.45	$3,728.65	$3,728.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.36 / $1,328.36 / $2,006.33	Professional		$1,328.36	$1,328.36	$2,006.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.82 / $202.12 / $416.27	Facility		$142.82	$202.12	$416.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.95 / $221.95 / $221.95	Professional		$221.95	$221.95	$221.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.82 / $204.35 / $416.27	Facility		$142.82	$204.35	$416.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $221.95 / $2,400,000.00	Professional		$192.38	$221.95	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $250.00 / $400.00	Professional		$131.00	$250.00	$400.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $236.25	Professional		$175.00	$175.00	$236.25