Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.59 / $131.59 / $142.51	Facility		$131.59	$131.59	$142.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $142.51 / $173.77	Professional		$123.17	$142.51	$173.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $406.32 / $978.66 / $978.66	Facility		$406.32	$978.66	$978.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.08 / $1,307.34 / $1,343.17	Professional		$1,254.08	$1,307.34	$1,343.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.57 / $243.99 / $392.22	Facility		$145.57	$243.99	$392.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $139.72 / $139.72	Professional		$139.72	$139.72	$139.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.51 / $244.39 / $392.22	Facility		$142.51	$244.39	$392.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $280.73 / $2,400,000.00	Professional		$139.72	$280.73	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $389.00 / $788.00	Professional		$214.00	$389.00	$788.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $415.80	Professional		$308.00	$308.00	$415.80