Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $18.41	Facility		$18.41	$18.41	$18.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $18.41 / $18.41	Professional		$15.65	$18.41	$18.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $100.00 / $100.00	Facility		$90.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $52.25	Facility		$18.41	$18.41	$52.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $52.25	Facility		$18.41	$18.41	$52.25
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 $4.50 / $4.50 / $6.30	Professional		$4.50	$4.50	$6.30