Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $111.04	Facility		$111.04	$111.04	$111.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $111.04 / $160.00	Professional		$111.04	$111.04	$160.00
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 / $139.57	Facility		$100.00	$100.00	$139.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $315.18	Facility		$111.04	$111.04	$315.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.04 / $111.04 / $315.18	Facility		$111.04	$111.04	$315.18
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 $19.25 / $19.25 / $26.95	Professional		$19.25	$19.25	$26.95