Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Facility		$4.00	$4.00	$4.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
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 $8.34 / $8.34 / $8.34	Professional		$8.34	$8.34	$8.34
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 $11.55 / $11.55 / $11.55	Professional		$11.55	$11.55	$11.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $8.48	Facility		$4.00	$4.00	$8.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $8.48	Facility		$4.00	$4.00	$8.48
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
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.95	Professional		$0.68	$0.68	$0.95