Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $14.52 / $28.75	Facility		$13.31	$14.52	$28.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $13.64 / $18.55	Professional		$13.31	$13.64	$18.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $99.99 / $100.00 / $100.00	Facility		$99.99	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $19.03 / $22.61	Facility		$13.31	$19.03	$22.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $19.51 / $22.61	Facility		$13.31	$19.51	$22.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $12.48	Professional		$12.48	$12.48	$12.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.35	Professional		$1.00	$1.00	$1.35