Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.23 / $4.01	Facility		$1.05	$1.23	$4.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $1.05 / $1.19	Professional		$0.80	$1.05	$1.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $90.00 / $90.00	Facility		$80.00	$90.00	$90.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $11.33	Professional		$8.66	$8.66	$11.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.57 / $3.04	Facility		$1.07	$1.57	$3.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.10 / $2.35	Facility		$1.07	$1.10	$2.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
United Facility/Professional Professional Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Professional		$235.83	$235.83	$235.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $235.83 / $318.37	Professional		$1.27	$235.83	$318.37