Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $212.34 / $212.34	Professional		$212.34	$212.34	$212.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $214.18 / $346.90	Facility		$74.23	$214.18	$346.90
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 $212.34 / $212.34 / $339.74	Facility		$212.34	$212.34	$339.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $212.34 / $212.34 / $339.74	Facility		$212.34	$212.34	$339.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $26.28 / $35.47	Professional		$26.28	$26.28	$35.47