Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.69 / $2.66 / $5.59	Facility		$1.69	$2.66	$5.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.66 / $3.62	Professional		$2.59	$2.66	$3.62
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 $3.33 / $3.33 / $3.33	Professional		$3.33	$3.33	$3.33
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 $2.59 / $3.70 / $4.40	Facility		$2.59	$3.70	$4.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $2.43	Professional		$2.43	$2.43	$2.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.59 / $3.80 / $4.40	Facility		$2.59	$3.80	$4.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.43 / $2.43	Professional		$2.43	$2.43	$2.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $4.54	Professional		$3.36	$3.36	$4.54