Free Response to Motion - District Court of Arizona - Arizona

Case 2:03—cv—01892-ROS Document 183-2 Filed 11/29/2006 Page1 0f2

guggst g. Gig of-Phoenix
Billed vs. Actual Charges
69*- 924* - .. l,.. , _ - - . , .
1---1: - »e·& ll·l j l ·le» ; ‘ leel 4 ;
, elle . - eseell 0 ll‘-ls esls seee 4 7 gi 3 A it
-· rizona Haart Hos ital 2,167.95 1,033.97
arico a Mod Cantor 3,-273.20 2,105.19
Mod-Pro ER 1.,441.28 510.53
h icians/Radiolo
an on Su e ‘_Csntar- 7.,503.63 1,631.03
David En land D.O. 163-.35 163.35
harles Crsasman, M..D. 7,990.00 2,348.93
’*=oth Purd , M..D. 2.,625.00 1,671.31
St. Luke's Mod Ctr 18,524.50 18,442.50
Dosort Hand Thora ‘ 2,881.18 587.53 *
440--00 440.00
Point Ci n-a Pharnac 96.90 96.90
alls ids Su ical Svcs 1797.00 557.00**
tovon S.-. Crohn, M.D. 127..05 127.05
- i na Pharmac 64.40 -64.60
TOTALS: $49,095.44 $29,779.89
DIFFERENCE: $19,315.55
-* As of 4.*7/04,. this is am.ount Cigna had paid
‘*“* \/alloywido showed bat. of-$1‘240‘.00- and ttiod to attach lion - Troon
said théy cannot do that and Cigna should pay bill (latter w/docs that
camo with filo. in response to sdt)
1682937.1
Cass 2:03—cv—01892-ROS Document 183-2 Filod 11/29/2006 Pago 2 of 2

Case 2:03-cv-01892-ROS

Document 183-2

Filed 11/29/2006

Page 1 of 2

Case 2:03-cv-01892-ROS

Document 183-2

Filed 11/29/2006

Page 2 of 2