Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Facility		$70.00	$70.00	$70.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $100.00	Facility		$90.00	$90.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $67.20	Facility		$40.00	$40.00	$67.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $60.00	Facility		$40.00	$40.00	$60.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $2,400,000.00	Professional		$40.00	$40.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $126.41 / $126.41	Professional		$126.41	$126.41	$126.41