Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Facility		$19.67	$19.67	$19.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $19.67 / $19.67	Professional		$19.67	$19.67	$19.67
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 $14.11 / $14.11 / $14.11	Professional		$14.11	$14.11	$14.11
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 $19.53 / $19.53 / $19.53	Professional		$19.53	$19.53	$19.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $41.70	Facility		$19.67	$19.67	$41.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $41.70	Facility		$19.67	$19.67	$41.70
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 $11.40 / $11.40 / $15.96	Professional		$11.40	$11.40	$15.96