Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $15.49	Professional		$12.39	$12.39	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $30.71 / $30.71	Facility		$30.71	$30.71	$30.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $13,910.16 / $18,772.80	Professional		$12.75	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $13.36	Facility		$13.36	$13.36	$13.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $30.71 / $30.71	Facility		$30.71	$30.71	$30.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $2,550,000.00	Professional		$20.14	$20.14	$2,550,000.00