Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $320.39 / $320.39	Facility		$320.39	$320.39	$320.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.18 / $320.39 / $336.42	Professional		$253.18	$320.39	$336.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.20 / $247.20 / $247.20	Facility		$247.20	$247.20	$247.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.29 / $140.00 / $205.76	Professional		$132.29	$140.00	$205.76
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 $284.89 / $284.89 / $284.89	Professional		$284.89	$284.89	$284.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $320.39 / $679.25	Facility		$320.39	$320.39	$679.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $320.39 / $710.78	Facility		$320.39	$320.39	$710.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $2,250,000.00 / $2,400,000.00	Professional		$140.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.20 / $222.20 / $222.20	Professional		$222.20	$222.20	$222.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $196.43 / $254.54	Professional		$188.55	$196.43	$254.54