Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Facility		$46.81	$46.81	$46.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Professional		$46.81	$46.81	$46.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $66.94	Facility		$46.81	$46.81	$66.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $66.94	Facility		$46.81	$46.81	$66.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $25.20 / $25.20	Professional		$25.20	$25.20	$25.20