Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $24.97	Facility		$24.97	$24.97	$24.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $24.97 / $36.63	Professional		$24.97	$24.97	$36.63
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 $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65
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 $0.90 / $0.90 / $0.90	Professional		$0.90	$0.90	$0.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $52.94	Facility		$24.97	$24.97	$52.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $52.94	Facility		$24.97	$24.97	$52.94
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 / $2.80	Professional		$2.00	$2.00	$2.80