Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
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 $1.68 / $1.68 / $1.68	Professional		$1.68	$1.68	$1.68
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 $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $31.80	Facility		$15.00	$15.00	$31.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $31.80	Facility		$15.00	$15.00	$31.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $1.68	Professional		$1.68	$1.68	$1.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $1.30 / $1.82	Professional		$1.30	$1.30	$1.82