Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $721.91	Facility		$146.74	$146.74	$721.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.74 / $146.74 / $192.67	Professional		$146.74	$146.74	$192.67
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 $207.71 / $207.71 / $259.57	Professional		$207.71	$207.71	$259.57
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 $422.40 / $422.40 / $422.40	Professional		$422.40	$422.40	$422.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $416.51	Facility		$146.74	$146.74	$416.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.74 / $146.74 / $416.51	Facility		$146.74	$146.74	$416.51
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 $249.47 / $249.47 / $249.47	Professional		$249.47	$249.47	$249.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $157.38 / $198.18	Professional		$146.80	$157.38	$198.18