Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $20.83	Facility		$20.83	$20.83	$20.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $20.83 / $22.50	Professional		$20.83	$20.83	$22.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65.00 / $75.00	Facility		$55.00	$65.00	$75.00
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 $272.97 / $272.97 / $272.97	Professional		$272.97	$272.97	$272.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $44.16	Facility		$20.83	$20.83	$44.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $20.83 / $60.00	Facility		$20.83	$20.83	$60.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.50 / $19.57	Professional		$14.50	$14.50	$19.57