Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.55 / $111.55 / $123.64	Facility		$111.55	$111.55	$123.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.85 / $120.44 / $145.86	Professional		$105.85	$120.44	$145.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $126.86 / $126.86	Professional		$107.83	$126.86	$126.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $242.65 / $2,141.75 / $2,141.75	Facility		$242.65	$2,141.75	$2,141.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $887.69 / $887.69 / $1,145.03	Professional		$887.69	$887.69	$1,145.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $171.90 / $301.83	Facility		$122.31	$171.90	$301.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $126.64 / $126.64	Professional		$126.64	$126.64	$126.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $172.38 / $301.83	Facility		$122.31	$172.38	$301.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $228.00 / $2,400,000.00	Professional		$126.64	$228.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $159.00 / $214.65	Professional		$159.00	$159.00	$214.65