Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $2,028.97	Facility		$973.77	$973.77	$2,028.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Professional		$973.77	$973.77	$1,194.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.74 / $644.74 / $644.74	Facility		$644.74	$644.74	$644.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $175.99 / $1,532.65	Professional		$175.99	$175.99	$1,532.65
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 $1,420.02 / $1,420.02 / $1,420.02	Professional		$1,420.02	$1,420.02	$1,420.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $2,763.95	Facility		$973.77	$973.77	$2,763.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $973.77 / $973.77 / $2,763.95	Facility		$973.77	$973.77	$2,763.95
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 $20.39 / $1,340.65 / $1,809.88	Professional		$20.39	$1,340.65	$1,809.88