Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
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 $38.47 / $38.47 / $38.47	Professional		$38.47	$38.47	$38.47
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 $53.27 / $53.27 / $53.27	Professional		$53.27	$53.27	$53.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $74.20	Facility		$35.00	$35.00	$74.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $74.20	Facility		$35.00	$35.00	$74.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.85 / $2,400,000.00	Professional		$0.82	$0.85	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $14.06 / $19.68	Professional		$14.06	$14.06	$19.68