Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Facility		$5.45	$5.45	$5.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $5.45	Professional		$5.45	$5.45	$5.45
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 $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
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 $6.06 / $6.06 / $6.06	Professional		$6.06	$6.06	$6.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $15.47	Facility		$5.45	$5.45	$15.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $15.47	Facility		$5.45	$5.45	$15.47
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 $0.68 / $0.68 / $0.95	Professional		$0.68	$0.68	$0.95