Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $84.53	Facility		$35.00	$35.00	$84.53
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 $46.74 / $46.74 / $46.74	Professional		$46.74	$46.74	$46.74
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 $64.70 / $64.70 / $64.70	Professional		$64.70	$64.70	$64.70
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 $0.37 / $0.39 / $2,400,000.00	Professional		$0.37	$0.39	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $27.02	Professional		$19.30	$19.30	$27.02