Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $899.50	Facility		$248.71	$248.71	$899.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $248.71 / $287.08	Professional		$248.71	$248.71	$287.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.08 / $404.08 / $404.08	Facility		$404.08	$404.08	$404.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.37 / $313.37 / $324.56	Professional		$313.37	$313.37	$324.56
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 $449.39 / $449.39 / $449.39	Professional		$449.39	$449.39	$449.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $705.94	Facility		$248.71	$248.71	$705.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $248.71 / $705.94	Facility		$248.71	$248.71	$705.94
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
United Facility/Professional Professional Modifier Low / Median / High Price $699.93 / $699.93 / $699.93	Professional		$699.93	$699.93	$699.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $81.00	Professional		$60.00	$60.00	$81.00