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 $55.61 / $55.61 / $55.61	Professional		$55.61	$55.61	$55.61
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 $77.00 / $77.00 / $77.00	Professional		$77.00	$77.00	$77.00
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 $0.42 / $0.44 / $2,400,000.00	Professional		$0.42	$0.44	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $21.39	Professional		$15.28	$15.28	$21.39