Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Facility		$8.00	$8.00	$8.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
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 $40.20 / $310.19 / $310.19	Professional		$40.20	$310.19	$310.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $334.05	Facility		$100.00	$100.00	$334.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $334.05 / $334.05 / $334.05	Professional		$334.05	$334.05	$334.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $16.96	Facility		$8.00	$8.00	$16.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $8.00 / $16.96	Facility		$8.00	$8.00	$16.96
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