Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.72 / $131.72 / $131.72	Facility		$131.72	$131.72	$131.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $131.72 / $132.65	Professional		$106.45	$131.72	$132.65
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.96 / $131.72 / $278.70	Facility		$111.96	$131.72	$278.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.96 / $131.72 / $278.70	Facility		$111.96	$131.72	$278.70
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.20 / $23.20 / $32.47	Professional		$23.20	$23.20	$32.47