Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Facility		$3.20	$3.20	$3.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $4.00	Professional		$3.20	$3.20	$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 $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.00 / $9.00	Professional		$9.00	$9.00	$9.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $9.08	Facility		$3.20	$3.20	$9.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $9.08	Facility		$3.20	$3.20	$9.08
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 $3.00 / $3.00 / $4.20	Professional		$3.00	$3.00	$4.20