Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
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 $21.03 / $21.03 / $21.03	Professional		$21.03	$21.03	$21.03
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 $29.12 / $29.12 / $29.12	Professional		$29.12	$29.12	$29.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $21.20	Facility		$10.00	$10.00	$21.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $21.20	Facility		$10.00	$10.00	$21.20
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 $5.00 / $5.00 / $7.00	Professional		$5.00	$5.00	$7.00