Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.99 / $134.99	Facility		$100.00	$134.99	$134.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,962.21 / $1,962.21 / $1,962.21	Professional		$1,962.21	$1,962.21	$1,962.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.14	Facility		$2.10	$2.10	$2.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.14	Facility		$2.10	$2.10	$2.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $1,800,000.00 / $1,800,000.00	Professional		$1,800,000.00	$1,800,000.00	$1,800,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $2.50 / $3.39	Professional		$2.50	$2.50	$3.39