Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Professional		$15.40	$15.40	$15.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $26.40 / $28.50	Facility		$23.40	$26.40	$28.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $16.41 / $19.30	Professional		$16.41	$16.41	$19.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $100.00	Facility		$65.00	$80.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Facility		$15.40	$15.40	$15.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Professional		$5.23	$5.23	$5.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $15.40 / $15.40	Facility		$15.40	$15.40	$15.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Professional		$5.23	$5.23	$5.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $20.53 / $20.53	Professional		$20.53	$20.53	$20.53