Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.65 / $399.65 / $399.65	Facility		$399.65	$399.65	$399.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.38 / $240.00 / $307.42	Professional		$224.38	$240.00	$307.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $317.49	Professional		$254.00	$254.00	$317.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $307.42 / $333.47	Facility		$254.00	$307.42	$333.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $307.42 / $333.47	Facility		$254.00	$307.42	$333.47
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
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12