Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.35 / $53.35 / $53.35	Facility		$53.35	$53.35	$53.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $42.37 / $107.82	Facility		$4.88	$42.37	$107.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $19.30	Facility		$12.06	$12.06	$19.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59,999.40 / $59,999.40 / $59,999.40	Professional		$59,999.40	$59,999.40	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $35.09 / $128.28	Facility		$5.28	$35.09	$128.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00