Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $369.68	Facility		$369.68	$369.68	$369.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.68 / $369.68 / $421.37	Professional		$369.68	$369.68	$421.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,408.05 / $1,408.05 / $1,408.05	Facility		$1,408.05	$1,408.05	$1,408.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,408.05	Facility		$100.00	$100.00	$1,408.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $1,049.30	Facility		$369.68	$369.68	$1,049.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.68 / $369.68 / $1,049.30	Facility		$369.68	$369.68	$1,049.30
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 $378.00 / $378.00 / $529.20	Professional		$378.00	$378.00	$529.20