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 $59.40 / $59.40 / $59.40	Professional		$59.40	$59.40	$59.40
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 $82.24 / $82.24 / $82.24	Professional		$82.24	$82.24	$82.24
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 $1.70 / $1.78 / $2,400,000.00	Professional		$1.70	$1.78	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $21.13	Professional		$15.09	$15.09	$21.13