Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
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 $28.33 / $28.33 / $28.33	Professional		$28.33	$28.33	$28.33
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 $39.22 / $39.22 / $39.22	Professional		$39.22	$39.22	$39.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $42.40	Facility		$20.00	$20.00	$42.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $42.40	Facility		$20.00	$20.00	$42.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.41 / $2,400,000.00	Professional		$1.36	$1.41	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $10.88 / $15.23	Professional		$10.88	$10.88	$15.23