Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Facility		$826.50	$826.50	$826.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $826.50 / $826.50	Professional		$826.50	$826.50	$826.50
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 $54.28 / $54.28 / $54.28	Professional		$54.28	$54.28	$54.28
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 $75.16 / $75.16 / $75.16	Professional		$75.16	$75.16	$75.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $826.50 / $1,752.18	Facility		$826.50	$826.50	$1,752.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.50 / $826.50 / $1,752.18	Facility		$826.50	$826.50	$1,752.18
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 $25.00 / $25.00 / $35.00	Professional		$25.00	$25.00	$35.00