Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $1,546.67	Facility		$229.63	$229.63	$1,546.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $229.63 / $478.66	Professional		$229.63	$229.63	$478.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.92 / $440.92 / $549.90	Professional		$440.92	$440.92	$549.90
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 $761.40 / $761.40 / $761.40	Professional		$761.40	$761.40	$761.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $651.78	Facility		$229.63	$229.63	$651.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $229.63 / $651.78	Facility		$229.63	$229.63	$651.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$1,800,000.00	$2,400,000.00	$2,400,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.04 / $711.04 / $711.04	Professional		$711.04	$711.04	$711.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $333.62 / $383.70 / $518.00	Professional		$333.62	$383.70	$518.00