Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
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 $16.44 / $16.44 / $16.44	Professional		$16.44	$16.44	$16.44
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 $72.45 / $72.45 / $75.34	Professional		$72.45	$72.45	$75.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $8.48	Facility		$4.00	$4.00	$8.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $8.48	Facility		$4.00	$4.00	$8.48
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 $7.00 / $7.00 / $9.80	Professional		$7.00	$7.00	$9.80