Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Facility		$6.00	$6.00	$6.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.40 / $5.40	Professional		$5.40	$5.40	$5.40
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 $15.24 / $15.24 / $15.24	Professional		$15.24	$15.24	$15.24
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 $21.11 / $21.11 / $21.11	Professional		$21.11	$21.11	$21.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $12.72	Facility		$6.00	$6.00	$12.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $12.72	Facility		$6.00	$6.00	$12.72
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 $15.00 / $15.00 / $21.00	Professional		$15.00	$15.00	$21.00