Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $32.40	Professional		$30.00	$30.00	$32.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $85.15	Facility		$30.00	$30.00	$85.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $85.15	Facility		$30.00	$30.00	$85.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.50 / $233.50 / $315.23	Professional		$233.50	$233.50	$315.23