Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $53.35 / $53.35	Facility		$53.35	$53.35	$53.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,454.00 / $5,454.00 / $5,454.00	Professional		$5,454.00	$5,454.00	$5,454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $100.00	Facility		$65.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $8.83 / $18.11	Facility		$7.55	$8.83	$18.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $8.83 / $18.11	Facility		$7.55	$8.83	$18.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.46 / $203.55 / $920.00	Professional		$198.46	$203.55	$920.00