Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $4.88	Facility		$4.88	$4.88	$4.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $4.88 / $8.00	Professional		$4.88	$4.88	$8.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $5.56	Professional		$5.56	$5.56	$5.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $7.70	Professional		$7.70	$7.70	$7.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $13.85	Facility		$4.88	$4.88	$13.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $4.88 / $13.85	Facility		$4.88	$4.88	$13.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,250,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.40	Professional		$1.00	$1.00	$1.40