Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
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 Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $2,754.23	Professional		$30.20	$30.20	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $1.91	Facility		$1.91	$1.91	$1.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.11 / $0.26	Facility		$0.03	$0.11	$0.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.38 / $0.38	Professional		$0.15	$0.38	$0.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00