Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $37.68	Facility		$34.77	$34.77	$37.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $37.68 / $42.27	Professional		$32.54	$37.68	$42.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $885.11 / $885.11	Facility		$80.16	$885.11	$885.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $283.32 / $283.32 / $360.83	Professional		$283.32	$283.32	$360.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $52.16 / $83.17	Facility		$37.51	$52.16	$83.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $40.14 / $40.14	Professional		$40.14	$40.14	$40.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.68 / $52.18 / $83.17	Facility		$37.68	$52.18	$83.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $59.38 / $2,250,000.00	Professional		$40.14	$59.38	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $94.00 / $197.00	Professional		$43.00	$94.00	$197.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $61.00 / $82.35	Professional		$61.00	$61.00	$82.35