Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $254.94	Facility		$254.94	$254.94	$254.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $254.94 / $254.94	Professional		$17.60	$254.94	$254.94
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 $11.30 / $11.30 / $11.30	Professional		$11.30	$11.30	$11.30
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 $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $573.62	Facility		$254.94	$254.94	$573.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.94 / $254.94 / $540.47	Facility		$254.94	$254.94	$540.47
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 $18.76 / $18.76 / $26.26	Professional		$18.76	$18.76	$26.26