Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $28.52 / $28.52	Professional		$11.68	$28.52	$28.52
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 $1,426.43 / $1,426.43 / $1,426.43	Professional		$1,426.43	$1,426.43	$1,426.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,536.15	Facility		$100.00	$100.00	$1,536.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.05 / $1,975.05 / $1,975.05	Professional		$1,975.05	$1,975.05	$1,975.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $60.46	Facility		$28.52	$28.52	$60.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $60.46	Facility		$28.52	$28.52	$60.46
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 $2.00 / $2.00 / $2.81	Professional		$2.00	$2.00	$2.81